Bruce L Fariss (NPI# 1700999372, PAC ID# 3577607928) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ENDOCRINOLOGY.
| Nation Provider ID (NPI) | 1700999372 |
| PAC ID by PECOS | 3577607928 |
| Professional Enrollment ID | I20100223000428 |
| Full Name | Bruce L Fariss |
| Address |
4655 Cleburne Blvd Dublin VA 24084-4412 |
| Phone Number | 5406745900 |
| Gender | M |
| Medical School | UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE |
| Graduation Year | 1961 |
| Primary Specialty | ENDOCRINOLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490042 | CARILION NEW RIVER VALLEY MEDICAL CENTER |
| 490111 | WYTHE COUNTY COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4655 Cleburne Blvd, Dublin, VA 24084-4412 | 5406745900 |
| Street Address |
4655 CLEBURNE BLVD |
| City | DUBLIN |
| State | VA |
| Zip | 24084-4412 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Linda T Ely | Certified Clinical Nurse Specialist (cns) | 125 Broad St, Dublin, VA 24084-3201 | |
| Claire W Dalrymple | Clinical Social Worker | 125 Broad St, Dublin, VA 24084-3201 | |
| Jennifer Lynn Simpson | Nurse Practitioner | Carilion Healthcare Corporation | 118 Broad St, Dublin, VA 24084-3211 |
| William Skewes | Internal Medicine | 112 Broad St, Dublin, VA 24084-3211 | |
| April L Andrews | Nurse Practitioner | Carilion Healthcare Corporation | 118 Broad St, Dublin, VA 24084-3211 |
| George Pearis Damewood Iv | Family Medicine | Carilion Healthcare Corporation | 118 Broad St, Dublin, VA 24084-3211 |
| Christine M Ullman | Family Medicine | Carilion Healthcare Corporation | 118 Broad St, Dublin, VA 24084-3211 |
| Ted R Johnson | Podiatry | Soutwest Podiatry, P.C. | 5270 Alexander Rd, Dublin, VA 24084-3650 |
| Kylan Smith | Physical Therapy | University Physical Therapy Limited Partnership | 5255 Alexander Rd, Dublin, VA 24084-3657 |
| Cassidy L Hensley | Nurse Practitioner | Alliance Xpress Care LLC | 5275 Alexander Rd, Suite A, Dublin, VA 24084-3657 |
| Find all physicians in zip 24084 | |||
| City | DUBLIN |
| Zip Code | 24084 |
| Specialty | ENDOCRINOLOGY |
| City + Specialty | DUBLIN + ENDOCRINOLOGY |
Please comment or provide details below to improve the information on Bruce L Fariss.
| 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.