Individual provider Active NPI

Bruce Buley, PT

  • Orthopedic Physical Therapist
  • Chapel Hill, NC
National Provider Identifier
1003834912
Registry record updated Jul 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
1152 Issued in NC
Practice address
115 Timberhill PL
Chapel Hill, NC 27514-1586
Phone
(919) 967-5959
Fax
(919) 968-1478
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 1152 NC Primary

Addresses

Primary practice location

115 Timberhill PL
Chapel Hill, NC 27514-1586

Mailing address

115 Timberhill PL
Chapel Hill, NC 27514-1586
Phone (919) 967-5959

Other identifiers 2

IdentifierTypeStateIssuer
1152OtherNCNC STATE LICENSURE NUMBER
720783RMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1152NCMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Reynolds & Associates Physical Therapy, Inc. PastSince Jan 3, 2006 Accepting new patients
Physiotherapy Associates Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341964800000",
    "number": "1003834912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 TIMBERHILL PL",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275141586",
            "telephone_number": "919-967-5959",
            "fax_number": "919-968-1478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 TIMBERHILL PL",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275141586",
            "telephone_number": "919-967-5959",
            "fax_number": "919-968-1478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULEY",
        "first_name": "BRUCE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2012-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NC",
            "license": "1152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC STATE LICENSURE NUMBER",
            "identifier": "1152",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "720783R",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.