Jackson B Bruce (NPI# 1063597243, PAC ID# 3476584236) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1063597243 |
| PAC ID by PECOS | 3476584236 |
| Professional Enrollment ID | I20050822001311 |
| Full Name | Jackson B Bruce |
| Organization Legal Name | PIEDMONT FAMILY PRACTICE LLC |
| Address |
115 Beattie Park Rd Piedmont SC 29673-1410 |
| Phone Number | 8648453331 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 1989 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2466487947 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420023 | ST FRANCIS-DOWNTOWN |
| 420102 | GHS PATEWOOD MEMORIAL HOSPITAL |
| 420078 | GHS GREENVILLE MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 975 W Faris Rd, Greenville, SC 29605-4241 | 8647298330 | NEW HORIZON FAMILY HEALTH SERVICES INC |
| 115 Beattie Park Rd, Piedmont, SC 29673-1410 | 8648453331 | PIEDMONT FAMILY PRACTICE LLC |
| Organization Legal Name | PIEDMONT FAMILY PRACTICE LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Lindsay Sloan | Family Medicine | Piedmont Family Practice LLC | 115 Beattie Park Rd, Piedmont, SC 29673-1410 |
| Street Address |
115 BEATTIE PARK RD |
| City | PIEDMONT |
| State | SC |
| Zip | 29673-1410 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Lindsay Sloan | Family Medicine | Piedmont Family Practice LLC | 115 Beattie Park Rd, Piedmont, SC 29673-1410 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christine A Dowling | Clinical Social Worker | 3113 Hwy 153, Suite G, Piedmont, SC 29673-6200 | |
| Tara Brown Garrick | Nurse Practitioner | Providence House Calls LLC | 202 Wall St, Piedmont, SC 29673-6754 |
| William Marion Scott Iii | Family Medicine | 206 Wall St, Piedmont, SC 29673-6754 | |
| Darci Marie Voitel | Nurse Practitioner | Providence House Calls LLC | 202 Wall St, Piedmont, SC 29673-6754 |
| Kevin P Tracy | Rheumatology | Providence House Calls LLC | 202 Wall St, Piedmont, SC 29673-6754 |
| Nancy Tinoco Farrar | Nurse Practitioner | Providence House Calls LLC | 202 Wall St, Piedmont, SC 29673-6754 |
| Kimberly R Anderson | Nurse Practitioner | Providence House Calls LLC | 202 Wall St, Piedmont, SC 29673-6754 |
| Brandi Griffin | Nurse Practitioner | Providence House Calls LLC | 202 Wall St, Piedmont, SC 29673-6754 |
| Romin Bharat Shah | Internal Medicine | Providence House Calls LLC | 202 Wall St, Piedmont, SC 29673-6754 |
| Paul A Lingoes | Family Medicine | Providence House Calls LLC | 202 Wall St, Piedmont, SC 29673-6754 |
| Find all physicians in zip 29673 | |||
| City | PIEDMONT |
| Zip Code | 29673 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | PIEDMONT + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jackson B Bruce.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.