Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bruce R Maddern MD PA

Organization Pediatric Otolaryngology Physician · NPI 1225001589

Bruce R Maddern MD PA is a Pediatric Otolaryngology Physician in Jacksonville, Florida. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10475 Centurion Pkwy N Ste 302
Jacksonville, FL 32256-5003
Phone: (904) 398-5437
Fax: (904) 398-3077
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Otolaryngology Physician (primary) Taxonomy 207YP0228X
Otolaryngology/Facial Plastic Surgery Physician Taxonomy 207YX0905X

Record details

NPI number1225001589
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bruce Maddern — President · (904) 398-5437
NPI enumeratedFebruary 8, 2006
Last updated in NPPESSeptember 7, 2007
Mailing address10475 Centurion Pkwy N, Suite 302, Jacksonville, FL 32256-5003

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