Provider Demographics
NPI:1699877290
Name:FOX, BRUCE TODD (DPM)
Entity type:Individual
Prefix:DR
First Name:BRUCE
Middle Name:TODD
Last Name:FOX
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
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Mailing Address - Street 1:8505 FENTON ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-4497
Mailing Address - Country:US
Mailing Address - Phone:301-589-7663
Mailing Address - Fax:301-589-3410
Practice Address - Street 1:8505 FENTON ST
Practice Address - Street 2:SUITE 200
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-4497
Practice Address - Country:US
Practice Address - Phone:301-589-7663
Practice Address - Fax:301-589-3410
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MD01336213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
7080293OtherAETNA PPO
DCF266OtherBCBS DISTRICT COLUMBIA
2633927OtherAETNA HMO
4228680003OtherDME NUMBER
435056OtherANTHEM BCBS
MD61132005OtherBCBS MARYLAND
9614447OtherGHI NUMBER
295963OtherMAMSI NUMBER
2633927OtherAETNA HMO
295963OtherMAMSI NUMBER
DCF266OtherBCBS DISTRICT COLUMBIA
MD61132005OtherBCBS MARYLAND