Provider Demographics
NPI:1194871186
Name:SHAPIRO, BRUCE STEVEN (MD)
Entity type:Individual
Prefix:
First Name:BRUCE
Middle Name:STEVEN
Last Name:SHAPIRO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8851 W SAHARA AVE
Mailing Address - Street 2:STE # 100
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-5890
Mailing Address - Country:US
Mailing Address - Phone:702-254-1777
Mailing Address - Fax:702-228-2678
Practice Address - Street 1:8851 W SAHARA AVE
Practice Address - Street 2:STE # 100
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-5890
Practice Address - Country:US
Practice Address - Phone:702-254-1777
Practice Address - Fax:702-228-2678
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2007-12-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV5710207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVE71868Medicare UPIN