BRUCE WILSON (NPI# 1093767667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093767667 |
| Entity Type | Individual |
| Full Name | BRUCE WILSON |
| Practice Address |
320 Jefferson St Whiteville NC 28472-3602 |
| Practice Telephone | 9106418600 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2019-02-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0010-03556 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326530551 | Bruce Allen Wilson Jr. | Counselor | 6821 Yakima Ave, Tacoma, WA 98408-5514 | 2018-06-04 |
| 1801049556 | Bruce Wayne Wilson Jr. | Military Health Care Provider | Uss Nashville, Lpd 13, Fpo, AE 09579-1715 | 2008-10-28 |
| 1962561290 | Bruce T Wilson | Dentist | 322 Hwy 18, Manila, AR 72442 | 2006-12-06 |
| 1295826857 | Bruce Edward Wilson | Internal Medicine | 925 Stevens Dr Ste 2e, Richland, WA 99352-3523 | 2006-09-27 |
| 1538188032 | Bruce Edward Wilson | Nurse Anesthetist, Certified Registered | 3840 Fairway Dr, Lapeer, MI 48446-4302 | 2006-07-18 |
| 1346294063 | Bruce Taylor Wilson | Dentist | 123 N 19th Street, Middlesboro, KY 40965-1786 | 2006-05-19 |
| 1295289387 | Bruce Alan Wilson | Pharmacist | 125 Dublin Rd, Peterborough, NH 03458-1343 | 2016-08-07 |
| 1457667487 | Bruce Leonard Wilson | Internal Medicine | 2073 Klockner Raod, Hamilton, NJ 08690 | 2010-08-27 |
| 1548313281 | Bruce Leslie Wilson | Psychologist | 153 E Main St, Suite E, Mount Kisco, NY 10549-2317 | 2007-01-18 |
| 1982761565 | Bruce A. Wilson | Internal Medicine | 209 Martin Luther King Jr Way, Tacoma, WA 98405-4265 | 2007-01-02 |
| Street Address |
320 JEFFERSON ST |
| City | WHITEVILLE |
| State | NC |
| Zip Code | 28472-3602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457718868 | Susan Anderson | Nurse Practitioner | 320 Jefferson St, Whiteville, NC 28472-3602 | 2016-01-15 |
| 1134509912 | Columbus Regional Health Network | Internal Medicine | 320 Jefferson St, Whiteville, NC 28472-3602 | 2015-06-05 |
| 1801126479 | Columbus Regional Health Network | Urology | 320 Jefferson St, Whiteville, NC 28472-3602 | 2010-01-05 |
| 1811960198 | David Lehr | Urology | 320 Jefferson St, Whiteville, NC 28472-3602 | 2006-02-08 |
| 1659358067 | Karen Hatch | Nurse Practitioner | 320 Jefferson St, Whiteville, NC 28472-3602 | 2005-12-28 |
| 1508856634 | Peter Chambers | Family Medicine | 320 Jefferson St, Whiteville, NC 28472-3602 | 2005-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720503568 | Anthony Ruan | Pharmacist | 1728 S Madison St., Whiteville, NC 28472 | 2017-08-12 |
| 1336677699 | Brittany Canady | Nurse Practitioner | 5 Whiteville Towncenter, Whiteville, NC 28472 | 2017-05-31 |
| 1801335773 | Mary Mcneill Hooks | Pharmacist | 612-10 Jefferson Street, Whiteville, NC 28472 | 2017-02-13 |
| 1386180248 | Mickey Worthington | Pharmacist | 20 Whiteville Town Ctr, Whiteville, NC 28472 | 2017-01-16 |
| 1851702138 | Tom Mauney Owens | Pharmacist | 612- 4 Jefferson Street, Whiteville, NC 28472 | 2014-05-08 |
| 1740429778 | Coastal Hearing Centers, Inc | Audiologist | 302 Liberty Street, Whiteville, NC 28472 | 2009-02-15 |
| 1689831653 | Amber Marie Wallace Robinson | Occupational Therapy Assistant | 1472 Pickney Street, Whiteville, NC 28472 | 2008-05-19 |
| 1225236417 | Sandra Pickett | Speech-Language Pathologist | 123 E. Columbus Street, Whiteville, NC 28472 | 2007-07-10 |
| 1306041249 | Kimberlee White | Speech-Language Pathologist | 123 E Columbus Street, Whiteville, NC 28472 | 2007-06-20 |
| 1568667418 | Ismael Montes | Respiratory Therapist, Registered | 1014 N. Jk Powell Boulevard, Whiteville, NC 28472 | 2007-06-20 |
| Find all providers in zip 28472 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598017758 | Rebecca Leigh Mansfield | Physician Assistant | 800 Jefferson St Ste 116, Whiteville, NC 28472-3702 | 2012-10-11 |
| 1508079476 | Natasha Jacobs Lowery | Physician Assistant | 736 Davis Ave, Whiteville, NC 28472 | 2007-05-08 |
| 1689053613 | Advantage Medical Services, Pllc | Physician Assistant | 736 Davis Ave, Whiteville, NC 28472-6002 | 2015-05-22 |
| 1902228240 | Cortney Jones | Physician Assistant | 614 N Jk Powell Blvd, Whiteville, NC 28472-3008 | 2014-01-06 |
| 1013139096 | Jeffrey Clarke | Physician Assistant | 619 Jefferson St, Whiteville, NC 28472-3707 | 2007-05-02 |
| 1376632745 | Amy D Ransom | Physician Assistant | 117 E Main St, Whiteville, NC 28472-4131 | 2006-10-12 |
| 1619088283 | Larry Burroughs | Physician Assistant | 619 Jefferson St, Whiteville, NC 28472-3707 | 2006-08-31 |
| 1295701019 | David Fox | Physician Assistant | 701 Jefferson St, Whiteville, NC 28472-3704 | 2006-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538459 | Sarah Jane Lamanna | Physician Assistant | 3012 Bristol Creek Dr, Morrisville, NC 27560-7811 | 2020-11-04 |
| 1043819741 | Brad Russell Tolan | Physician Assistant | 211 Pinegate Cir Apt 12, Chapel Hill, NC 27514-2221 | 2020-10-22 |
| 1265030654 | Vanessa Vinson | Physician Assistant | 284 Lower Edgewood Rd, Candler, NC 28715-9285 | 2020-10-16 |
| 1649878810 | Courtney Michelle Watlington | Physician Assistant | 360 N Bennett St, Southern Pines, NC 28387-4813 | 2020-10-11 |
| 1669079034 | Christine Meyer | Physician Assistant | 2523 Creek Ridge Ln, Chapel Hill, NC 27514-7454 | 2020-10-07 |
| 1407453319 | Khyan Waddell | Physician Assistant | 127 Sneed Rd, Enfield, NC 27823-9589 | 2020-10-04 |
| 1053918979 | Amjad Ali | Physician Assistant | 730 Montlieu Ave, High Point, NC 27260-4000 | 2020-10-04 |
| 1104433382 | Aditi Bhattacharjee Sundaresan | Physician Assistant | 131 Mallard Ct, Chapel Hill, NC 27517-9104 | 2020-09-30 |
| 1689281933 | Kathryn Tarulli | Physician Assistant | 600 W Main St Apt 624, Durham, NC 27701-5005 | 2020-09-29 |
| 1205443991 | Kelsey Mendez | Physician Assistant | 105 Basket Oak Dr, Bunnlevel, NC 28323-9141 | 2020-09-26 |
| Find all providers with the same taxonomy | ||||
| City | WHITEVILLE |
| Zip Code | 28472 |
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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.