BRUCE EDWARD CARL (NPI# 1295796555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295796555 |
| Entity Type | Individual |
| Full Name | BRUCE EDWARD CARL |
| Credential | MD |
| Practice Address |
64580 Van Dyke Rd Suite C Washington MI 48095-2857 |
| Mailing Address |
43750 Garfield Rd Suite 104 Clinton Twp MI 48038-1135 |
| Practice Telephone | 5867529629 |
| Practice Fax Number | 5867524099 |
| Mailing Telephone | 5862266860 |
| Mailing Fax Number | 5862266880 |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2008-05-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4301042852 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4373763 | 05 | |
| MI | BCBS GROUP NUMBER | 700E012740 | 01 |
| Street Address |
64580 VAN DYKE RD SUITE C |
| City | WASHINGTON |
| State | MI |
| Zip Code | 48095-2857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518926229 | Alan Stiebel | Podiatrist | 64580 Van Dyke Rd, Suite A, Washington, MI 48095-2857 | 2006-03-21 |
| 1427258292 | Romeo Family Dentistry | Dentist | 64580 Van Dyke Rd, Suite B, Washington, MI 48095-2857 | 2007-07-20 |
| 1366526485 | Afilliated Health Services | Pharmacist | 64580 Van Dyke Rd, Suite G, Washington, MI 48095-2857 | 2006-10-25 |
| 1316053739 | Mark G Pickell | Pharmacist | 64580 Van Dyke Rd, Ste G, Washington, MI 48095-2857 | 2006-08-21 |
| 1053355172 | Timothy James Blanchet | Family Medicine | 64580 Van Dyke Rd, Suite C, Washington, MI 48095-2857 | 2006-06-16 |
| 1346281383 | James E Young | Dentist | 64580 Van Dyke Rd, Suite B, Washington, MI 48095-2857 | 2006-06-09 |
| 1255392361 | Curtis Patrick Craig | Family Medicine | 64580 Van Dyke Rd, Suite C, Washington, MI 48095-2857 | 2006-03-29 |
| 1487615746 | Michael J Kasztelan | Family Medicine | 64580 Van Dyke Rd, Suite C, Washington, MI 48095-2857 | 2006-03-28 |
| 1003877366 | Brigitte K Stern | Family Medicine | 64580 Van Dyke Rd, Suite C, Washington, MI 48095-2857 | 2006-03-28 |
| 1407816143 | Kathleen D Ambrose | Registered Nurse | 64580 Van Dyke Rd, Suite C, Washington, MI 48095-2857 | 2006-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043748569 | Shree Ohm Inc | Pharmacy | 64580 Van Dyke Rd Ste D, Washington, MI 48095 | 2017-05-28 |
| 1366763914 | Jacob Paul Witer | Dentist | 65893 Van Dyke Rd, Washington Twp, MI 48095 | 2010-06-17 |
| 1619117405 | Rite Aid of Michigan Inc | Durable Medical Equipment & Medical Supplies | 63033 Van Dyke Road, Washington, MI 48095 | 2009-03-06 |
| 1134262140 | Romeo Sleep Center, LLC | Physiological Laboratory | 67150 Van Dyke, #150, Washington, MI 48095 | 2007-02-15 |
| 1982776738 | Romeo Urgent Care, PC | Clinic/Center | 67150 Vandyke Rd, Washington, MI 48095 | 2006-11-15 |
| 1245311398 | Orchardview Physicians, Pllc | Preventive Medicine | 12250 Thirty Mile Rd, Washington Township, MI 48095 | 2006-10-17 |
| 1548285109 | Bormans Inc | Pharmacy | 64660 Van Dyke, Romeo, MI 48095 | 2006-07-13 |
| 1104860022 | Michael Lucien Lefebvre | Dentist | 64580 Van Dyke, Suite B, Washington, MI 48095 | 2006-06-15 |
| 1992785828 | Kulpa & Kulpa Dds | Dentist | 64845 Vandyke, Washington, MI 48095 | 2006-01-18 |
| 1972776813 | Michigan Orthopedic & Spinal Surgery Pllc | Orthopaedic Surgery | 12150 30 Mile Rd, Suite 105, Washington Twp, MI 48095 | 2008-04-11 |
| Find all providers in zip 48095 | ||||
| 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 |
|---|---|---|---|---|
| 1598314908 | Centerville Clinics Inc | Family Medicine | Centerville Clinics - City Mission Site, 84 W Wheeling Street, Washington, PA 15301-6918 | 2019-09-09 |
| 1912487380 | James Elwood Richardson | Family Medicine | 270 Shady Ln, Washington, PA 15301-2536 | 2018-08-15 |
| 1851829709 | Jason Snavely | Family Medicine | 95 Leonard Ave Bldg 22nd, Washington, PA 15301-3368 | 2017-05-23 |
| 1760923361 | Natasha Khawaja | Family Medicine | Upper Cardozo Community Health Center, 320 14th Street Nw, Washington, DC 20009 | 2017-03-15 |
| 1992158364 | Ok Hee Rhee | Family Medicine | 6 Club House Dr Ste 102, Washington, NJ 07882-2213 | 2016-07-20 |
| 1154738193 | Presidential Healthcare Center | Family Medicine | 5215 Loughboro Road Nw, Suite 470, Washington, DC 20016 | 2014-07-22 |
| 1174936686 | Andrew Moss | Family Medicine | 6121 32nd St Nw, Washington, DC 20015-2459 | 2014-06-03 |
| 1417367814 | Fri Awasum | Family Medicine | 2041 Georgia Ave Nw Faclty Practice Plan Suite 3200, Washington, DC 20060-7232 | 2014-05-07 |
| 1982024378 | Robert Latham Baillieu | Family Medicine | 1400 I (eye) Street Nw, Suite 825, Washington, DC 20005 | 2014-04-24 |
| 1003233453 | Jennifer Carlton | Family Medicine | 64580 Van Dyke Rd Ste C, Washington, MI 48095-2811 | 2014-03-24 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 48095 |
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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.