BRUCE MALLORY BURNS (NPI# 1932259538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932259538 |
| Entity Type | Individual |
| Full Name | BRUCE MALLORY BURNS |
| Credential | M.D. |
| Practice Address |
800 N Fant St Anderson SC 29621-5708 |
| Mailing Address |
211 S Main St Anderson SC 29624-1620 |
| Practice Telephone | 8642260511 |
| Practice Fax Number | 8642317018 |
| Mailing Telephone | 8642260511 |
| Mailing Fax Number | 8642317018 |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2007-10-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
13947 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | CHAMPUS | 57-0853635 | 01 |
| SC | RAIL ROAD MEDICARE | 300020824 | 01 |
| SC | BLUE CROSS | 57-0853635 | 01 |
| GA | MEDICAID | 00259223C | 01 |
| SC | TL4055 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144439779 | Bruce D. Burns | Dentist | 210 Broad St, Kernersville, NC 27284-2930 | 2007-05-21 |
| 1215900071 | Bruce Burns | Chiropractor | 812 N 5th St, Jarrell, TX 76537-1221 | 2006-02-10 |
| 1477177095 | Bruce Robert Burns | Counselor | 431 Ohio Pike Ste 312, Cincinnati, OH 45255-3629 | 2020-05-29 |
| 1962550095 | Bruce Hinkle Burns | Optometrist | 8170 Oaklandon Rd, Suite A, Indianapolis, IN 46236-9543 | 2007-01-08 |
| 1033272810 | Bruce Elliott Burns | Psychiatry & Neurology | 1965 Live Oak Blvd, Yuba City, CA 95991-8828 | 2006-12-19 |
| 1689698433 | Bruce Lane Burns | Dentist | 500 Walnut St, Royersford, PA 19468-2320 | 2006-07-26 |
| 1699702811 | Bruce T Burns | Specialist | 800 1st St, Suite 410, Macon, GA 31201-8300 | 2006-06-26 |
| 1407814544 | Bruce Burns | Optometrist | 5806 W Camelback Rd, Glendale, AZ 85301-7405 | 2006-05-01 |
| 1538124425 | Bruce Eric Burns | Emergency Medicine | 701 Princeton Ave Sw, Birmingham, AL 35211-1303 | 2006-04-20 |
| Street Address |
800 N FANT ST |
| City | ANDERSON |
| State | SC |
| Zip Code | 29621-5708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730182262 | Sarah Anne Cummings | Nurse Anesthetist, Certified Registered | 800 N Fant St, Anderson, SC 29621-5708 | 2005-05-30 |
| 1922623677 | Ivy Ray | Nurse Practitioner | 800 N Fant St, Anderson, SC 29621-5708 | 2020-06-09 |
| 1003431701 | Jennifer E Thompson | Pharmacist | 800 N Fant St, Anderson, SC 29621-5708 | 2020-06-09 |
| 1174165054 | Heather Marshall Ford | Nurse Practitioner | 800 N Fant St, Anderson, SC 29621-5708 | 2019-10-12 |
| 1700349206 | Carleen O'connell | Registered Nurse | 800 N Fant St, Anderson, SC 29621-5708 | 2019-04-11 |
| 1942769666 | Dharti Patel | Nurse Practitioner | 800 N Fant St, Anderson, SC 29621-5708 | 2019-03-13 |
| 1760940225 | Meredith H Hargrove | Nurse Practitioner | 800 N Fant St, Anderson, SC 29621-5708 | 2019-03-04 |
| 1780169276 | Brent Austin Harris | Nurse Practitioner | 800 N Fant St, Anderson, SC 29621-5708 | 2018-10-01 |
| 1356826929 | Donna Annette Patterson | Registered Nurse | 800 N Fant St, Anderson, SC 29621-5708 | 2018-09-30 |
| 1174002059 | Ich Er Services, LLC | Emergency Medicine | 800 N Fant St, Anderson, SC 29621-5708 | 2018-08-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114574241 | Kathryn L Harwick | Social Worker | 3030 Sc-81, Anderson, SC 29621 | 2019-08-22 |
| 1326517194 | Ashlea Bronwen Bates | Nurse Practitioner | 3424 Clemson Blvd., Anderson, SC 29621 | 2018-11-21 |
| 1770051708 | Bailee Vernon Mccarley | Nurse Practitioner | 800 Fant St, Anderson, SC 29621 | 2018-11-07 |
| 1790278893 | Morgan Cutts | Speech-Language Pathologist | 126 Broadbent Way, Suite A, Anderson, SC 29621 | 2018-06-13 |
| 1427546233 | Amanda Coker Burnette | Family Medicine | 3000 East Greenville Street, Suite 3700, Anderson, SC 29621 | 2018-04-26 |
| 1205342169 | Robert Allen Dameron Jr. | Orthopaedic Surgery | 130 Longview Drive, Anderson, SC 29621 | 2017-12-14 |
| 1578085411 | Michael Jason Bell | Contractor | 520 Hwy 29 Bypass N, Anderson, SC 29621 | 2017-07-12 |
| 1639629983 | Todd E. Hamilton | Dentist | 1112 Cornelia Road, Anderson, SC 29621 | 2016-10-11 |
| 1760939110 | Crystal Vaughn | Nurse Practitioner | Sac Anmed Health 2000 East Greenville Street, Anderson, SC 29621 | 2016-09-01 |
| 1992151328 | Veronica Williams | Non-emergency Medical Transport (VAN) | 2314 Old Williamston Road, Anderson, SC 29621 | 2016-05-04 |
| Find all providers in zip 29621 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770753816 | Anderson Diagnostic Imaging, Inc | Radiology | 2110 N Hwy 81, Anderson, SC 29621-1532 | 2008-03-05 |
| 1437174265 | Joseph P Porcaro | Radiology | 1515 N Madison Avenue, Anderson, IN 46011-3453 | 2006-07-13 |
| 1568419422 | Jeffrey K Shramek | Radiology | 2110 N Highway 81, Anderson, SC 29621-1532 | 2006-05-27 |
| 1346208832 | Anderson Diagnostic Imaging, Inc | Radiology | 2110 North Highway 81, Anderson, SC 29621-1532 | 2006-05-03 |
| 1629316575 | Thomas Alexander Tuten | Radiology | 211 S Main St, Anderson, SC 29624-1620 | 2013-01-28 |
| 1922125269 | Diagnostic Radiology of Anderson, P.a. | Radiology | 800 N Fant St, Anderson, SC 29621-5708 | 2007-03-23 |
| 1407906035 | Thomas U Tuten | Radiology | 800 N Fant St, Anderson, SC 29621-5708 | 2007-01-12 |
| 1235289851 | Monica H Grier | Radiology | 800 N Fant St, Anderson, SC 29621-5708 | 2007-01-12 |
| 1346390952 | Veena Mathur | Radiology | 800 N Fant St, Anderson, SC 29621-5708 | 2007-01-12 |
| 1366592958 | Kyle C Bryans | Radiology | 800 N Fant St, Anderson, SC 29621-5708 | 2007-01-12 |
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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.