BRUCE A MARSHALL MD PA (NPI# 1356520746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356520746 |
| Entity Type | Organization |
| Organization Name | BRUCE A MARSHALL MD PA |
| Practice Address |
104 Medical Park Ct Clinton SC 29325-7537 |
| Mailing Address |
Po Box 663 Clinton SC 29325-0663 |
| Practice Telephone | 8648331978 |
| Practice Fax Number | 8648337688 |
| Mailing Telephone | 8648331978 |
| Mailing Fax Number | 8648337688 |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2011-11-29 |
| Authorized Official Name | BRUCE A MARSHALL (OWNER) |
| Authorized Official Telephone | 8648331978 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 9545 | SC | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 095453 | 05 |
| Street Address |
104 MEDICAL PARK CT |
| City | CLINTON |
| State | SC |
| Zip Code | 29325-7537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295353100 | Mason Paige Gambrell | Student in an Organized Health Care Education/Training Program | 107 Shellcreek Ct, Clinton, SC 29325 | 2020-07-07 |
| 1386207975 | Tammy Binger | Registered Nurse | 22725 U.S. 76, Clinton, SC 29325 | 2019-04-18 |
| 1154828945 | Lillian Smith | Physical Therapy Assistant | Nhc Clinton, 304 Jacobs Highway, Clinton, SC 29325 | 2018-04-09 |
| 1134519366 | Nora Pace | Specialist/Technologist | 18132 Hwy 72 E, Clinton, SC 29325 | 2015-01-26 |
| 1497186845 | John M. Griz | Orthopaedic Surgery | 22971 Hwy 76e, Clinton, SC 29325 | 2013-12-11 |
| 1992131171 | Sharon Kay Stoia | Occupational Therapist | 600 Plaza Circle, Clinton, SC 29325 | 2013-09-19 |
| 1578800256 | Hayes Ambulance Service LLC | Ambulance | 2143 Torrington Road, Clinton, SC 29325 | 2013-01-14 |
| 1083943518 | Margaret Estelle Shreve | Chiropractor | 209 Musgrove St, Clinton, SC 29325 | 2009-12-11 |
| 1750556213 | Piedmont Regional Urology | Urology | 300 Plantation Plaza, Suite F, Clinton, SC 29325 | 2008-04-25 |
| 1285821587 | Assisted Living Concepts Inc | Assisted Living Facility | 939 Springdale Drive, Clinton, SC 29325 | 2007-10-01 |
| Find all providers in zip 29325 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730543950 | Latesha Powell | Specialist | 8708 Shannan Dr, Clinton, MD 20735-2447 | 2016-04-13 |
| 1093111775 | Becquelyn Green | Specialist | 104 Elgin Pl, Clinton, MS 39056-3946 | 2014-11-07 |
| 1710301908 | Heather Oakes | Specialist | 8577 Wonderland Ave Nw, Clinton, OH 44216-9516 | 2014-02-10 |
| 1366870347 | Jay De Vera | Specialist | 417 W Elizabeth St Apt A, Clinton, NC 28328-4465 | 2013-10-29 |
| 1346676459 | Belinda Gail Holt | Specialist | 814 W Gary Blvd, Clinton, OK 73601-2720 | 2013-09-20 |
| 1689000879 | Salim Y. Mansoor M.d., P.a. | Specialist | 7501 Surratts Rd Ste 110, Clinton, MD 20735-3350 | 2013-09-19 |
| 1003183666 | Rosemary S Marcus | Specialist | 102 College St, Clinton, NY 13323-1637 | 2011-11-28 |
| 1003060757 | Eastern Ent Sinus & Allergy Center, Pa | Specialist | 504 Balsey St, Clinton, NC 28328-2902 | 2008-11-07 |
| 1487804936 | Amecia Dore Usual | Specialist | 9135 Piscataway Rd Ste 340, Clinton, MD 20735-2576 | 2008-09-21 |
| 1548440290 | Carlene Oliver | Specialist | 407 Oak Tree Dr, Clinton, MI 49236-9739 | 2007-11-10 |
| Find all providers in CLINTON | ||||
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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.