DR. JACKSON B BRUCE (NPI# 1063597243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063597243 |
| Entity Type | Individual |
| Full Name | DR. JACKSON B BRUCE |
| Credential | MD |
| Practice Address |
115 Beattie Park Rd Piedmont SC 29673 |
| Practice Telephone | 8648453331 |
| Practice Fax Number | 8648453152 |
| Mailing Telephone | 8648453331 |
| Mailing Fax Number | 8648453152 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2011-09-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 19008 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 19008 | 05 |
| Street Address |
115 BEATTIE PARK RD |
| City | PIEDMONT |
| State | SC |
| Zip Code | 29673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851476030 | John L Sloan Jr. | Family Medicine | 115 Beattie Park Rd, Piedmont, SC 29673-1410 | 2006-10-26 |
| 1336635580 | Laura Elizabeth Gaudette | Registered Nurse | 115 Beattie Park Rd, Piedmont, SC 29673 | 2018-07-10 |
| 1720223266 | St Francis Physician Services Inc | Family Medicine | 115 Beattie Park Rd, Piedmont, SC 29673-1410 | 2008-12-12 |
| 1437208790 | Piedmont Family Practice LLC | Family Medicine | 115 Beattie Park Rd, Piedmont, SC 29673-1410 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982674 | Coco Carter | Licensed Practical Nurse | 210 Helen St, Piedmont, SC 29673 | 2020-11-06 |
| 1962975888 | Powdersville Family Pharmacy LLC | Pharmacy | 11061 Anderson Road, Piedmont, SC 29673 | 2019-01-03 |
| 1720571003 | Ingles Markets Inc | Pharmacy | 10903 Anderson Rd, Powdersville, SC 29673 | 2018-06-11 |
| 1982086518 | Joyce C. Gregory | Chore Provider | 2415 Fork Shoals Road, Piedmont, SC 29673 | 2015-06-19 |
| 1053741975 | Darlene Theresa Cooke | Massage Therapist | 100 New Cut Rd, Piedmont, SC 29673 | 2013-11-13 |
| 1497004311 | Robyn Deann Bailey | Pharmacist | 3460 Hwy 153, Piedmont, SC 29673 | 2012-09-06 |
| 1114276003 | Charity W Speed | Pharmacist | 7501 Augusta Road, Piedmont, SC 29673 | 2012-09-06 |
| 1033499827 | Joyce C Gregory | Community Based Residential Treatment Facility, Mental Illness | 2415 Fork Shoals Rd, Piedmont, SC 29673 | 2011-08-24 |
| 1801074273 | Richard Ernest Parnell Jr. | Chiropractor | 108b Clair Dr, Piedmont, SC 29673 | 2008-02-07 |
| 1487854956 | Upstate Neurology, P.a. | Specialist | 103 Clair Drive, Suite D, Piedmont, SC 29673 | 2007-07-23 |
| Find all providers in zip 29673 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841673 | Nugenex Plus Aprn-cnp Pllc | Family Medicine | 13425 Deer Spring Dr, Piedmont, OK 73078-3001 | 2020-11-03 |
| 1801495841 | Neuro Health Sc LLC | Family Medicine | 108 Commons Blvd Ste A, Piedmont, SC 29673-7766 | 2020-10-21 |
| 1457757767 | Saint Francis Medical Center | Family Medicine | 420 Piedmont Ave, Piedmont, MO 63957-1024 | 2014-11-13 |
| 1679989693 | Poplar Bluff Regional Medical Center, LLC | Family Medicine | 1 Hals Plz, Piedmont, MO 63957-1613 | 2014-07-10 |
| 1649587031 | Joseph Michael Toney | Family Medicine | #1 Hals Plaza Drive, Piedmont, MO 63957 | 2010-09-07 |
| 1336347483 | Joseph Edward Addiego Jr. | Family Medicine | 19 Monte Ave, Piedmont, CA 94611-3716 | 2007-07-10 |
| 1669551883 | Vicky Valverde-salas | Family Medicine | 1345 Grand Ave, Suite 103, Piedmont, CA 94610-1000 | 2006-11-06 |
| 1851476030 | John L Sloan Jr. | Family Medicine | 115 Beattie Park Rd, Piedmont, SC 29673-1410 | 2006-10-26 |
| 1144233867 | Maurice Ernest Corman M D Pllc | Family Medicine | 63 Gooder Simpson Blvd., Piedmont, OK 73078 | 2006-08-14 |
| 1407880099 | Michael P Toney | Family Medicine | #1 Hal's Plaza Drive, Piedmont, MO 63957 | 2006-07-10 |
| Find all providers in PIEDMONT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.