DR. R. BRUCE KELLY (NPI# 1932247079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932247079 |
| Entity Type | Individual |
| Full Name | DR. R. BRUCE KELLY |
| Credential | M.D. |
| Practice Address |
932 Old Hwy 70 West Black Mountain NC 28711 |
| Mailing Address |
21 Hillendale Rd Asheville NC 28805-1749 |
| Practice Telephone | 8286693218 |
| Practice Fax Number | 8286693229 |
| Mailing Telephone | 8282596912 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2009-04-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
25339 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
932 OLD HWY 70 WEST |
| City | BLACK MOUNTAIN |
| State | NC |
| Zip Code | 28711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910978 | Kelsey Lauren Crabtree | Counselor | 9 Penelope Street, Black Mountain, NC 28711 | 2020-07-26 |
| 1053839068 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 540 Nc 9 Hwy, Black Mountain, NC 28711 | 2017-08-30 |
| 1487037495 | Marian Cook | Occupational Therapist | 611 Old Us Hwy 70e, Mountain Ridge Skilled Nursing, Black Mtn, NC 28711 | 2015-07-08 |
| 1457696361 | Black Mountain Physical Therapy, LLC | Clinic/Center | 997 W Old Us 70 Hwy, Black Mountain, NC 28711 | 2012-12-04 |
| 1982948550 | Givens Highland Farms, LLC | Skilled Nursing Facility | 200 Tabernacle Road, Black Mountain, NC 28711 | 2012-11-20 |
| 1639480312 | Kathleen Bradley Shannon | Counselor | 15 Jane Jacobs Rd Ste 102, Black Mountain, NC 28711 | 2010-06-28 |
| 1821117482 | Katherine Edwards Milam | Technician/Technologist | 145a Old Hwy 70 East, Black Mountain, NC 28711 | 2007-03-28 |
| 1275679474 | Black Mountain Neuro-medical Treatment Center | Skilled Nursing Facility | 932 Old Us 70, Black Mountain, NC 28711 | 2007-01-29 |
| 1992851331 | Julian F Keith Alcohol and Drug Abuse Treatment Center | Psychiatric Hospital | 201 Tabernacle Road, Black Mountain, NC 28711 | 2007-01-26 |
| 1063507507 | James Thomas Lane | Physical Therapist | 49 Vance Ave., Black Mountain, NC 28711 | 2006-10-03 |
| Find all providers in zip 28711 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538771795 | Michelle Muhammad | Family Medicine | 1589 Skeet Club Rd Ste 102-218, High Point, NC 27265-8817 | 2020-08-19 |
| 1578171724 | Immuno Professionals Pllc | Family Medicine | 9300 Harris Corners Pkwy Ste 160, Charlotte, NC 28269-3791 | 2020-07-14 |
| 1225549991 | Tawfiq Ansari | Family Medicine | 5 Scarlet Oak Ct, Durham, NC 27712-8971 | 2017-10-20 |
| 1215457924 | J Arthur Dosher Memorial Hospital | Family Medicine | 906 N Howe Street, Southport, NC 28461-2846 | 2017-06-23 |
| 1215342779 | Alexandria Kadolph | Family Medicine | Moses Cone Hospital, 1121 N Church St, Greensboro, NC 27405 | 2014-06-24 |
| 1669715868 | David A Crowe | Family Medicine | West Wilkes Family Medicine, 171 West Wilkes Medical Center Blvd., Ferguson, NC 28624-8925 | 2013-04-05 |
| 1417261736 | Talton Physician Services Pllc | Family Medicine | 201 Crest Dr, Mount Olive, NC 28365-2619 | 2010-07-28 |
| 1366686271 | Arturo De Jesus De Leon | Family Medicine | 2903 Adrian Ct, Raleigh, NC 27604-5811 | 2009-04-22 |
| 1922132620 | Larry S Kilby Md Pa | Family Medicine | 1208 E St, N Wilkesboro, NC 28659-4018 | 2007-03-15 |
| 1720120470 | Carole Maxwell Stuart | Family Medicine | Lower Level Reynolds Gym-wingate Rd., Wingate Rd., Winston-salem, NC 27109 | 2007-02-12 |
| Find all providers with the same taxonomy | ||||
| City | BLACK MOUNTAIN |
| Zip Code | 28711 |
Please comment or provide details below to improve the information on DR. R. BRUCE KELLY.
| 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.