National Provider Identifier
Bruce Michael Small, MD
Bruce Michael Small, MD is listed in the NPPES registry with a primary specialty of Health Educator in Buffalo, NY and a listed phone number of (716) 431-5100.
Profile Overview
- NPI
- 1164533642
- Provider Type
- Individual
- Primary Specialty
- Health Educator
- Enumeration Date
- August 31, 2006
- Last Updated
- June 18, 2025
Practice Location
- 742 Delaware Ave
- Buffalo, NY 14209-2202
Phone: (716) 431-5100
Mailing Address
- 10540 Stoneway
- Clarence, NY 14031-2100
Specialties
- Health Educator (174H00000X)
- Geriatric Medicine (Internal Medicine) Physician (207RG0300X)
Full Record
- NPI
- 1164533642
- Entity Type
- Individual
- Last Name
- Small
- First Name
- Bruce
- Middle Name
- Michael
- Credential
- MD
- Mailing Street Address
- 10540 Stoneway
- Mailing City
- Clarence
- Mailing State
- NY
- Mailing ZIP Code
- 14031-2100
- Mailing Country
- US
- Mailing Phone
- (716) 759-8459
- Practice Street Address
- 742 Delaware Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14209-2202
- Practice Country
- US
- Practice Phone
- (716) 431-5100
- Enumeration Date
- August 31, 2006
- Last Updated
- June 18, 2025
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- June 18, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Health Educator (174H00000X), Geriatric Medicine (Internal Medicine) Physician (207RG0300X)
- Other Identifiers
- 00650055 (NY)