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

Dr. Bruce Randolph Tizes, MD

Individual provider Internal Medicine Physician · NPI 1588942379

Dr. Bruce Randolph Tizes, MD is an Internal Medicine Physician in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2112 Broadway Ste 6F
New York, NY 10023-2105
Phone: (312) 513-6930
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 160717 (NY)

Record details

NPI number1588942379
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 27, 2011
Last updated in NPPESJuly 27, 2011

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