Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Samuel Bruce Pike, MDCM

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1164176491

Dr. Samuel Bruce Pike, MDCM is a Student in an Organized Health Care Education/Training Program in Providence, Rhode Island. Works from 3 locations. Licensed in Rhode Island.

Licensed in
RI
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

593 Eddy St
Providence, RI 02903-4923
Phone: (401) 444-5174
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 593 Eddy St, Providence, RI 02903-4923 — (401) 444-2133
  • 125 Metro Center Blvd Ste 2000, Warwick, RI 02886-1785 — (401) 921-9202

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence MD18397 (RI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1164176491
Entity typeIndividual (Type 1)
GenderMale
Credentials MDCM
Sole proprietorNo
NPI enumeratedFebruary 6, 2022
Last updated in NPPESMay 16, 2022
Certification dateMay 16, 2022

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