OrganizationActive
Bruce R Witten MD PA
NPI 1649457524 · Specialist · St Augustine, FL
Bruce R Witten MD PA is a Specialist organization in St Augustine, FL (NPI 1649457524).
Provider details
- NPI number
- 1649457524
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Bruce Witten, Owner(904) 829-6441
- License
- ME0013869 (FL)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
301 Health Park Blvd
Suite 323
St Augustine, FL 32086-5793
Phone: (904) 829-6441
Fax: (904) 829-2452
Approximate (ZIP-level) locationGet directions
Mailing address
301 Health Park Blvd
St Augustine, FL 32086-5793
Registry dates
- Enumerated
- 2008-01-23
- Last updated
- 2008-01-23
Frequently asked questions
- What is Bruce R Witten MD PA's NPI number?
- Bruce R Witten MD PA's National Provider Identifier (NPI) is 1649457524, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bruce R Witten MD PA?
- Bruce R Witten MD PA is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Bruce R Witten MD PA located?
- Bruce R Witten MD PA's practice location on file with NPPES is 301 Health Park Blvd, St Augustine, FL 32086-5793.
- What is Bruce R Witten MD PA's phone number?
- The practice phone number listed in the NPPES registry for Bruce R Witten MD PA is (904) 829-6441.
- Who is the authorized official for Bruce R Witten MD PA?
- The authorized official listed on Bruce R Witten MD PA's NPPES record is Bruce Witten, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bruce R Witten MD PA's NPI active?
- Yes — Bruce R Witten MD PA's NPI (1649457524) is active in the NPPES registry as of the last update on 2008-01-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.