Daniel W Bruce (NPI# 1508807736, PAC ID# 5991718710) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1508807736 |
| PAC ID by PECOS | 5991718710 |
| Professional Enrollment ID | I20060721000243 |
| Full Name | Daniel W Bruce |
| Address |
507 Cherry St Tiptonville TN 38079-1527 |
| Phone Number | 9013557116 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 1957 |
| Primary Specialty | GENERAL PRACTICE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440072 | DYERSBURG REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 507 Cherry St, Tiptonville, TN 38079-1527 | 9013557116 |
| Street Address |
507 CHERRY ST |
| City | TIPTONVILLE |
| State | TN |
| Zip | 38079-1527 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Misty C Barker | Nurse Practitioner | 211 Church St, Tiptonville, TN 38079-1109 | |
| Donna R Rike | Nurse Practitioner | Roberson Rike Clinic | 768 Everett St, Tiptonville, TN 38079-1608 |
| Fernando C Lagrimas | Family Medicine | Citizens of Lake County for Health Care Inc | 710 Carl Perkins Pkwy, Tiptonville, TN 38079-1678 |
| James Oaks | General Practice | Citizens of Lake County for Health Care Inc | 710 Carl Perkins Pkwy, Tiptonville, TN 38079-1678 |
| Sandra J Tharpe | Nurse Practitioner | Citizens of Lake County for Health Care Inc | 710 Carl Perkins Pkwy, Tiptonville, TN 38079-1678 |
| Carol W Guess | General Practice | Citizens of Lake County for Health Care Inc | 710 Carl Perkins Pkwy, Tiptonville, TN 38079-1678 |
| Kerri A Ervin | Nurse Practitioner | Citizens of Lake County for Health Care Inc | 710 Carl Perkins Pkwy, Tiptonville, TN 38079-1678 |
| City | TIPTONVILLE |
| Zip Code | 38079 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | TIPTONVILLE + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Daniel W 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.