IndividualActive
Bruce Nickerson, MD
NPI 1215026521 · Pediatric Pulmonology Physician · Orange, CA
Provider details
- NPI number
- 1215026521
- Entity type
- Individual
- Primary specialty
- Pediatric Pulmonology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- G38843 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
455 S Main St
Orange, CA 92868-3835
Phone: (714) 532-8620
Fax: (714) 289-4072
Approximate (ZIP-level) locationGet directions
Mailing address
455 S Main St
Orange, CA 92868-3835
Registry dates
- Enumerated
- 2006-10-12
- Last updated
- 2008-08-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.