MARY E BRUCE


Address: 890 Madison Ave, Memphis, TN 38103-3409
Phone: 9014482579

MARY E BRUCE (NPI# 1508974700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508974700
Entity Type Individual
Full Name MARY E BRUCE
Credential PA
Practice Address 890 Madison Ave
Memphis
TN 38103-3409
Mailing Address 1407 Union Ave
Suite 700
Memphis
TN 38104-3627
Practice Telephone 9014482579
Practice Fax Number 9013022480
Mailing Telephone 9014482579
Mailing Fax Number 9013022480
Enumeration Date 2006-08-28
Last Update Date 2015-04-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA2344 TN Physician Assistants & Advanced Practice Nursing Providers
N 363AS0400X Physician Assistant
Specialization: Surgical Technologist
009354-1 NY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MS 07950511 05
TN Q002143 05
AR 199763795 05

Other Providers MARY BRUCE

NPI Name Taxonomy Address Enumeration
1801109616 Mary Bruce Audiologist 501 Skokie Blvd Fl 2, Northbrook, IL 60062-2802 2010-07-21
1336230655 Mary Margaret Bruce Counselor Region IIi Mental Health Center, 2434 South Eason Blvd, Tupelo, MS 38804-6942 2006-09-28
1710967880 Mary E Bruce Physical Therapist 106 E Main St, Westborough, MA 01581 2006-01-17

Office Location

Street Address 890 MADISON AVE
City MEMPHIS
State TN
Zip Code 38103-3409

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164989448 Phylicia Harris Nurse Practitioner 890 Madison Ave, Memphis, TN 38103-3409 2019-02-22
1346713948 Abdul-karim Sesay Nurse Practitioner 890 Madison Ave, Memphis, TN 38103-3409 2019-01-07
1790197945 Regional Med Extended Care Hospital, LLC Long Term Care Hospital 890 Madison Ave, 4th Floor, Memphis, TN 38103-3409 2014-05-22
1114356110 Jose A Aguirre Md PC Tn Internal Medicine 890 Madison Ave, Floor 4, Memphis, TN 38103-3409 2013-11-11
1134552219 Regional Med Extended Care Hospital, LLC General Acute Care Hospital 890 Madison Ave, 4th Floor, Memphis, TN 38103-3409 2013-08-13
1033209606 William Leslie Hickerson Surgery 890 Madison Ave, Suite Tg032, Memphis, TN 38103-3409 2006-10-13
1235234808 Ibrahim A Sultan-ali Internal Medicine 890 Madison Ave, Memphis, TN 38103-3409 2006-09-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619505724 Michelle Lynn Esposito Dietitian, Registered 1st Floor Research Center - 50 North Dunlap St, Memphis, TN 38103 2020-04-01
1962030221 Allison Burge Clayton Dietitian, Registered 50 N Dunlap, Nutrition Therapy Dept, 1st Floor Research Tower, Memphis, TN 38103 2020-03-31
1093375420 Radar Ems, LLC Social Worker 50 S. B.b. King Blvd, Suite 350, Memphis, TN 38103 2019-06-18
1528529021 Denise Andrews Matthews Nursing Care 342 Island Dr #105, Memphis, TN 38103 2019-03-27
1881160059 Christopher Paul Hernandez Nurse Practitioner 877 Jeffeon Ave, Memphis, TN 38103 2018-10-15
1194245712 Cameron Waters Clinard Optometrist 127 Isle Creek Dr, Memphis, TN 38103 2017-06-24
1750732582 Amanda Leigh Eaves Nurse Practitioner 364 S Front St Ste 201, Memphis, TN 38103 2016-06-22
1417304569 John Clark Shell Family Medicine 150 Harbor Creek Dr, Memphis, TN 38103 2016-05-18
1750753695 Tomisha V. Byard Nurse Practitioner 718 Habor Bend Road, Memphis, TN 38103 2015-10-29
1053795179 Melissa Anne Wilkes Social Worker 1240 Harbor River Drive, Memphis, TN 38103 2015-07-18
Find all providers in zip 38103

Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568910560 Erica Troia Comstock Physician Assistant 7193 Farnham Rd, Memphis, NY 13112-8764 2016-09-19
1578895546 Carl H. Harris Physician Assistant 6946 Finch Rd, Memphis, TN 38141-8598 2010-02-02
1831361948 F & P Certified Surgical Assistants LLC Physician Assistant 4793 Northwood Hills Cv, Memphis, TN 38128-1632 2008-03-28
1265619118 Jerry Emerson Shaw Physician Assistant 3980 New Covington Pike Ste 200, Memphis, TN 38128-2514 2008-01-23
1427683796 Madison Barry Physician Assistant 877 Jefferson Ave, Memphis, TN 38103-2807 2020-03-07
1891340154 Lauren Elizabeth Whitley Physician Assistant 1325 Eastmoreland Ave Ste 365, Memphis, TN 38104-7542 2019-08-05
1518519057 Michael Trevor Houseal Physician Assistant 1325 Eastmoreland Ave Ste 365, Memphis, TN 38104-7542 2019-07-15
1427571850 Kristen Kaplon Physician Assistant 6029 Walnut Grove Rd Ste 401, Memphis, TN 38120-2112 2017-07-18
1316485667 Kathryn Lee Physician Assistant 6025 Walnut Grove Rd Ste 301, Memphis, TN 38120-2123 2017-02-07
1700331527 Ted James Hegner Physician Assistant 6005 Park Ave Ste 802, Memphis, TN 38119-5218 2016-08-22
Find all providers in MEMPHIS

Competitor

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City MEMPHIS
Zip Code 38103

Improve Information

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Dataset Information

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.

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