BRUCE KENNEDY (NPI# 1659758159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659758159 |
| Entity Type | Individual |
| Full Name | BRUCE KENNEDY |
| Credential | MD |
| Practice Address |
100 Medical Park Dr Ste 110 Concord NC 28025-2948 |
| Mailing Address |
Po Box 19305 Charlotte NC 28219-9305 |
| Practice Telephone | 7044036826 |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2020-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 29604 | NC | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1550 Faulk St, Monroe, NC 281125086 | 9804420430 | |
| 101 E W T Harris Blvd, Ste 5500, Charlotte, NC 282623485 | 7048636160 | |
| 10660 Park Rd, Ste 1100, Charlotte, NC 282108413 | 9804425400 | |
| 600 Hospital Dr, Monroe, NC 281126000 | 9804420865 | |
| 2001 Vail Ave, Charlotte, NC 282071248 | 7045125363 | |
| 1000 Blythe Blvd, Charlotte, NC 282035812 | 7045125363 | |
| 100 Medical Park Dr, Ste 110, Concord, NC 280252948 | 7044036826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386627461 | Bruce David Kennedy | Anesthesiology | 45 N.e. Loop 410 #900, San Antonio, TX 78216 | 2005-11-22 |
| 1225681794 | Bruce Eric Kennedy | Technician/Technologist | 351 Alabama Rd, Adel, GA 31620-3818 | 2019-07-23 |
| 1770635658 | Bruce Edward Kennedy | Dentist | 435 Pine St, Rochester, MI 48307-1933 | 2007-01-18 |
| 1871517078 | Bruce Orval Kennedy | Dentist | 1117 Main Ave, Crete, NE 68333-2259 | 2006-07-27 |
| 1912922022 | Bruce Allen Kennedy | Dentist | 3601 S 6th Ave, Tucson, AZ 85723-0001 | 2006-07-12 |
| 1093742157 | Bruce E Kennedy | Nurse Anesthetist, Certified Registered | 415 W Gray St, Norman, OK 73069-7117 | 2006-06-26 |
| Street Address |
100 MEDICAL PARK DR STE 110 |
| City | CONCORD |
| State | NC |
| Zip Code | 28025-2948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700882958 | Patrick Anonick | Internal Medicine | 100 Medical Park Dr, Ste 210, Concord, NC 28025-2948 | 2005-06-22 |
| 1538700620 | Ashley Stewart | Nurse Practitioner | 100 Medical Park Dr, Ste 210, Concord, NC 28025-2948 | 2019-10-01 |
| 1659858330 | Krista Diiorio | Nurse Practitioner | 100 Medical Park Dr, Suite 310, Concord, NC 28025-2948 | 2018-07-25 |
| 1255829768 | Jessica Beal | Physician Assistant | 100 Medical Park Dr, Ste 110, Concord, NC 28025-2948 | 2018-04-30 |
| 1093216244 | Chris Larck | Pharmacist | 100 Medical Park Dr, Concord, NC 28025-2948 | 2018-02-23 |
| 1164948022 | Kathleen Bloom | Nurse Practitioner | 100 Medical Park Dr, Ste 210, Concord, NC 28025-2948 | 2017-08-22 |
| 1043736713 | Lauren Cartwright | Physician Assistant | 100 Medical Park Dr, Ste 210, Concord, NC 28025-2948 | 2017-08-15 |
| 1013439892 | Brittany Dillon | Nurse Practitioner | 100 Medical Park Dr, Suite 310, Concord, NC 28025-2948 | 2017-07-12 |
| 1932650892 | Kevin Hixson | Physician Assistant | 100 Medical Park Dr, Ste 210, Concord, NC 28025-2948 | 2016-10-17 |
| 1891243929 | Scott Palmer | Nurse Practitioner | 100 Medical Park Dr, Ste 110, Concord, NC 28025-2948 | 2016-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
| 1194284380 | Carolinas Physicians Network Inc | Internal Medicine | 610 Alfred Brown Jr. Court, Concord, NC 28025 | 2019-03-18 |
| 1164913596 | Damarius Raymond Faggart | Counselor | 503 Amhurst Drive, Concord, NC 28025 | 2018-05-22 |
| 1437677085 | Kathryn Emily Kanauer | Counselor | 280 Executive Park Dr Ne, Concord, NC 28025 | 2017-09-05 |
| 1649794439 | Foster Health & Homecare, LLC | Home Health | 363 Church Street North, Suite 260-i, Concord, NC 28025 | 2017-08-02 |
| 1326569336 | Jessie Leigh Tilley-compton | Social Worker | 371 Amhurst St Sw, Concord, NC 28025 | 2017-06-29 |
| 1609305663 | Sarah Katherine Thompson | Licensed Practical Nurse | 248 Executive Park Dr, Concord, NC 28025 | 2017-06-05 |
| 1023463098 | Kiera Brown | Social Worker | 219 Lephillip Court, Concord, NC 28025 | 2016-04-27 |
| 1992169445 | Brittiny N. Ingram Vanterpool | Counselor | 250 Branchview Dr Sw, Concord, NC 28025 | 2016-04-11 |
| 1215399852 | The Charlotte-mecklenburg Hospital Authority | Clinic/Center | 840 Warren C. Coleman Blvd, Concord, NC 28025 | 2016-03-23 |
| Find all providers in zip 28025 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497075402 | Nantucket Pediatrics | Pediatrics | 390 Westford Rd, Concord, MA 01742-5236 | 2010-06-02 |
| 1437385168 | Amy Schafer Boger | Pediatrics | 243 Old Pickard Rd, Concord, MA 01742-4727 | 2009-06-09 |
| 1811184088 | Candice K Smith | Pediatrics | 1699 Baywood Dr, Concord, CA 94521-1252 | 2007-10-01 |
| 1952507899 | George Alfred Engstrom | Pediatrics | 700 Williamsburg Ct Ne, Concord, NC 28025-2540 | 2007-06-26 |
| 1982727004 | Charlotte C Cowan | Pediatrics | 281 A Fairhaven Hill, Concord, MA 01742 | 2007-04-06 |
| 1679589212 | Concord Children's Clinic | Pediatrics | 1040 Vinehaven Dr, Concord, NC 28025 | 2006-08-01 |
| 1700802543 | Todd Michael Poret | Pediatrics | 253 Pleasant Street, Dept of Pediatrics, Concord, NH 03301 | 2006-07-14 |
| 1538192604 | Hemant Prakash | Pediatrics | 1040 Vinehaven Drive, Concord, NC 28025 | 2006-07-09 |
| 1225076524 | Lisa M Kelly | Pediatrics | 133 Ornac, Emerson Hospital, Concord, MA 01541 | 2006-06-02 |
| 1699741579 | Joseph Stegman | Pediatrics | 301 Medical Park Dr, Ste 202b, Concord, NC 28025-2981 | 2006-02-28 |
| Find all providers in CONCORD | ||||
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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.