DR. ANDREA MAUREEN BRUCE (NPI# 1295739894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295739894 |
| Entity Type | Individual |
| Full Name | DR. ANDREA MAUREEN BRUCE |
| Credential | D.O. |
| Practice Address |
701 S Holly Ave Collins MS 39428-3894 |
| Mailing Address |
Po Box 2499 Collins MS 39428-2499 |
| Practice Telephone | 6017653180 |
| Practice Fax Number | 6017652808 |
| Mailing Telephone | 6017653180 |
| Mailing Fax Number | 6017652808 |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2013-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 17397 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | BB3716555 | 01 | |
| MS | 00124844 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902080385 | Andrea L Bruce | Counselor | 956 E Tabor Ave, Fairfield, CA 94533-4104 | 2007-12-20 |
| 1013011741 | Andrea Lashelle Bruce | Licensed Practical Nurse | 5471 Dr Martin Luther King Dr, St Louis, MO 63112-4265 | 2006-09-12 |
| Street Address |
701 S HOLLY AVE |
| City | COLLINS |
| State | MS |
| Zip Code | 39428-3894 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457904989 | Bria Goff | Nurse Practitioner | 701 S Holly Ave, Collins, MS 39428-3894 | 2019-07-23 |
| 1922582220 | Sarah Clark | Nurse Practitioner | 701 S Holly Ave, Collins, MS 39428-3894 | 2018-09-21 |
| 1548756810 | Laura Jean Davis | Nurse Practitioner | 701 S Holly Ave, Collins, MS 39428-3894 | 2018-07-10 |
| 1285144584 | Natalie Renea Keyes | Family Medicine | 701 S Holly Ave, Collins, MS 39428-3894 | 2017-10-02 |
| 1750728648 | Sharon Cranford Easterling | Nurse Practitioner | 701 S Holly Ave, Collins, MS 39428-3894 | 2013-05-31 |
| 1497002810 | Southern Bone & Joint Specialists, Pa | Orthopaedic Surgery | 701 S Holly Ave, Collins, MS 39428-3894 | 2012-08-06 |
| 1750677704 | Brian K Padgett | Nurse Practitioner | 701 S Holly Ave, Collins, MS 39428-3894 | 2011-06-28 |
| 1053615518 | Covington County Hospital | Skilled Nursing Facility | 701 S Holly Ave, Collins, MS 39428-3894 | 2010-12-27 |
| 1518260330 | Covington County Hospital | Clinic/Center | 701 S Holly Ave, Collins, MS 39428-3894 | 2010-12-16 |
| 1336398510 | Harpreet Singh Sood | Family Medicine | 701 S Holly Ave, Collins, MS 39428-3894 | 2008-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568089977 | Kaitlin Johnson Hinton | Nurse Practitioner | 3275 Us 49 E, Collins, MS 39428 | 2020-07-01 |
| 1366075236 | Pine Ridge Family Clinic, LLC | Nurse Practitioner | 3248 Highway 49, Collins, MS 39428 | 2020-02-19 |
| 1245874981 | Kim Michelle Stubbs | Nurse Practitioner | 77 Cmj Drive, Collins, MS 39428 | 2019-11-06 |
| 1558911800 | William Clyde Saulters | Technician | 749 Seminary Mike Conner Rd, Collins, MS 39428 | 2019-09-18 |
| 1053862524 | Southeast Mississippi Rural Health Initiative, Inc. | Clinic/Center | 104 Carver Drive, Collins, MS 39428 | 2016-10-20 |
| 1205180718 | Angela M Kelly | Occupational Therapist | 3261 Hwy 49 South, Va State Home/collins, Collins, MS 39428 | 2012-11-06 |
| 1184973737 | Stephen Caleb Williamson | Pharmacist | 801 Main Street, Collins, MS 39428 | 2012-08-29 |
| 1760749691 | Christy Leggett | Occupational Therapy Assistant | 29 Martin Ln, Collins, MS 39428 | 2012-04-17 |
| 1013205350 | Covington County Hospital | Clinic/Center | 3275 Hwy 49, Suite E, Collins, MS 39428 | 2011-07-20 |
| 1225351562 | Covington County School District | Local Education Agency (LEA) | 1211 South Dogwood Avenue, Collins, MS 39428 | 2010-03-01 |
| Find all providers in zip 39428 | ||||
| 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 |
|---|---|---|---|---|
| 1508024548 | Weston Edmonds Folse | Family Medicine | 116 Par Drive, Collins, MS 39428 | 2008-05-27 |
| 1508860214 | Jason Gregory Beasley | Family Medicine | 603 S Holly Ave, Collins, MS 39428-3801 | 2005-06-09 |
| 1285144584 | Natalie Renea Keyes | Family Medicine | 701 S Holly Ave, Collins, MS 39428-3894 | 2017-10-02 |
| 1336398510 | Harpreet Singh Sood | Family Medicine | 701 S Holly Ave, Collins, MS 39428-3894 | 2008-09-12 |
| 1265528160 | Hattiesburg Clinic Pa | Family Medicine | 704 Fifth Street, Collins, MS 39428 | 2006-10-05 |
| 1598879314 | William Pryor Crooks | Family Medicine | 704 Fifth Street, Collins, MS 39428 | 2006-08-18 |
| 1043223639 | Martin D Harvey | Family Medicine | 704 Fifth Street, Collins, MS 39428 | 2006-08-14 |
| 1942267281 | Karen H Bruce | Family Medicine | 704 S 5th St, Collins, MS 39428-4147 | 2006-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900581 | Maegan Cook Bridges | Family Medicine | 312 Ridge Pointe Dr, Brandon, MS 39042-5035 | 2020-10-24 |
| 1003415266 | Christian Fortenberry | Family Medicine | 786 Lake Harbour Dr, Ridgeland, MS 39157-4303 | 2020-10-20 |
| 1457967226 | Tiffine Lynn Prisock | Family Medicine | 24978 Ms-15, Mathiston, MS 39752 | 2020-09-17 |
| 1851902860 | Jasmine Lester | Family Medicine | 538 Getwell Rd S, Hernando, MS 38632-9585 | 2020-08-12 |
| 1942810569 | Ericka Marcene Williams | Family Medicine | 1031 Northridge Rd Ste A, Baldwyn, MS 38824-1173 | 2020-08-07 |
| 1316557986 | Independent Healthcare Management, Inc | Family Medicine | 376 Simpson Highway 149 Ste 600, Magee, MS 39111-3572 | 2020-08-07 |
| 1164031373 | Rohith Reddy Guduru Venkata | Family Medicine | Delta Regional Medical Center, 1400 E Union St, Greenville, MS 38703 | 2020-07-24 |
| 1831707470 | Rebecca Holmes | Family Medicine | 42 Atley Holmes Rd # Rs, Jayess, MS 39641-8272 | 2020-07-20 |
| 1497373344 | Dhruval Patel | Family Medicine | 564 Cypress Ln Apt 11d, Greenville, MS 38701-7415 | 2020-07-08 |
| 1881211258 | Tiffany Chapman | Family Medicine | 905 S Frontage Rd, Meridian, MS 39301-6113 | 2020-07-01 |
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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.