BRUCE H WELLMON DPM PA (NPI# 1780677682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780677682 |
| Entity Type | Organization |
| Organization Name | BRUCE H WELLMON DPM PA |
| Practice Address |
101 Professional Park Gaffney SC 29340-2319 |
| Mailing Address |
Po Box 1436 Gaffney SC 29342-1436 |
| Practice Telephone | 8644875516 |
| Practice Fax Number | 8644873477 |
| Mailing Telephone | 8644875516 |
| Mailing Fax Number | 8644873477 |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2007-11-29 |
| Authorized Official Name | BRUCE H WELLMON (DPM) |
| Authorized Official Telephone | 8644875516 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 216 | NC | Podiatric Medicine & Surgery Service Providers |
| Y | 213E00000X | Podiatrist | 86 | SC | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP9937 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821282146 | Bruce H Wellmon Dpm Pa | Podiatrist | 101 Professional Park, Gaffney, SC 29340 | 2007-08-29 |
| Street Address |
101 PROFESSIONAL PARK |
| City | GAFFNEY |
| State | SC |
| Zip Code | 29340-2319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336593979 | Gaffney Urgent Care | Clinic/Center | 101 Professional Park, Suite B, Gaffney, SC 29340-2319 | 2016-04-20 |
| 1942626502 | Gina Wells Yost | Nurse Practitioner | 101 Professional Park, Gaffney, SC 29340-2319 | 2014-03-06 |
| 1427305531 | Carolina Neuropathy Center, LLC | Registered Nurse | 101 Professional Park, Suite D, Gaffney, SC 29340-2319 | 2012-08-08 |
| 1871852061 | Alfred Randall Moss Md Pa | Non-Pharmacy Dispensing Site | 101 Professional Park, Gaffney, SC 29340-2319 | 2012-05-09 |
| 1063697894 | Alfred Randall Moss, M.d. P.a | Family Medicine | 101 Professional Park, Gaffney, SC 29340-2319 | 2007-12-28 |
| 1437346475 | Bruce H Wellmon | Podiatrist | 101 Professional Park, Gaffney, SC 29340-2319 | 2007-10-03 |
| 1821282146 | Bruce H Wellmon Dpm Pa | Podiatrist | 101 Professional Park, Gaffney, SC 29340 | 2007-08-29 |
| 1245294107 | Alfred Randall Moss | Family Medicine | 101 Professional Park, Gaffney, SC 29340-2319 | 2006-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578116943 | Mark Reynolds | Nurse Practitioner | 840 West Floyd Baker Blvd, Gaffney, SC 29340 | 2019-07-24 |
| 1477805448 | Upstate Carolina Ems Inc | Ambulance | 145 Medical Center Dr., Gaffney, SC 29340 | 2012-10-15 |
| 1730439811 | Mickey Dean Bailey | Pharmacist | 229 West Buford Dtreet, Gaffney, SC 29340 | 2012-09-14 |
| 1780959825 | Mqp Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 115 W. Buford St., Gaffney, SC 29340 | 2012-03-21 |
| 1750448858 | Peachtree Centre Cherokee County Long Term Health | Assisted Living Facility | 1434 N. Limestone Street, Gaffney, SC 29340 | 2007-01-02 |
| 1629151550 | Otis Donnell Speight | Emergency Medicine | 510 Thompson Street, Dba Ltc Health Solutions, Gaffney, SC 29340 | 2006-10-23 |
| 1881604965 | Andrew P Harakas Md Pa | Specialist | 1552 N Limestone St, Suite C, Gaffney, SC 29340 | 2006-08-09 |
| 1023026358 | Pamela Turner Boone | Pharmacist | 1530 N. Limestone St, Gaffney, SC 29340 | 2006-08-03 |
| 1831126606 | Bruce Douglas Mikota | Chiropractor | 111 West Rutledge Avenue, Gaffney, SC 29340 | 2006-06-27 |
| 1063469062 | John Colby Stowell | Surgery | 117 E Montgomery St, Gaffney, SC 29340 | 2006-05-27 |
| Find all providers in zip 29340 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437346475 | Bruce H Wellmon | Podiatrist | 101 Professional Park, Gaffney, SC 29340-2319 | 2007-10-03 |
| 1821282146 | Bruce H Wellmon Dpm Pa | Podiatrist | 101 Professional Park, Gaffney, SC 29340 | 2007-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194331132 | Emad Youssef Dpm LLC | Podiatrist | 218 Granito Dr, Greer, SC 29650-2771 | 2020-09-16 |
| 1922618016 | Dr. Ashley Williams, LLC | Podiatrist | 3223 Hatchet Bay Dr Apt 7203, Charleston, SC 29414-5219 | 2020-08-04 |
| 1700424769 | Instride Foot & Ankle Specialists, Pllc | Podiatrist | 223 Herlong Ave S Ste 115, Rock Hill, SC 29732-1089 | 2019-12-20 |
| 1871011387 | Honored To Serve | Podiatrist | 1850 Atlantic Dr Unit 712, Columbia, SC 29210-7992 | 2017-09-05 |
| 1467989632 | Frederick Garland | Podiatrist | 767 Wintercreeper Dr, Longs, SC 29568-9229 | 2017-05-17 |
| 1245764430 | Aiken Podiatry Center | Podiatrist | 148 Waterloo St Sw Ste 4, Aiken, SC 29801-3766 | 2017-04-14 |
| 1982052031 | Harold Eugene Cook Iv | Podiatrist | 1730 St Julian Place, Columbia, SC 29204 | 2016-05-31 |
| 1669859104 | Mobile Podiatry South Carolina | Podiatrist | 10 Summerlea Ln, Columbia, SC 29203-3915 | 2015-05-05 |
| 1063829471 | Heather Driessen, Dpm, LLC | Podiatrist | 4072 Corner Stroll Ln, Aiken, SC 29801-1158 | 2014-07-17 |
| 1164855227 | Coastal Medical Services LLC | Podiatrist | 616 Churchill Rd, Walterboro, SC 29488-3622 | 2013-08-13 |
| Find all providers with the same taxonomy | ||||
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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.