Individual provider Active NPI

Henry David Bruton, MD

  • Pulmonary Disease Physician
  • Amarillo, TX
National Provider Identifier
1003853417
Registry record updated Jun 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
39556 Issued in NC
Practice address
6700 W 9TH Ave
Amarillo, TX 79106-1729
Phone
(806) 358-0200
Fax
(806) 356-5511
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 39556 NC Primary

Addresses

Primary practice location

6700 W 9TH Ave
Amarillo, TX 79106-1729

Mailing address

1008 Mill Run Rd
Sneads Ferry, NC 28460-9101
Phone (806) 358-0200

Other identifiers 1

IdentifierTypeStateIssuer
129798806MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200624001085 NC Practitioner - Pulmonary Disease 7113067281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
University of North Carolina at Chapel Hill School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Onslow Ambulatory Services IncGroup PAC ID 4587569256, 18 clinicians

Practice addresses (Care Compare)

237 White St
Suite 1
Jacksonville, NC 28546-6351
Phone (910) 577-4968

Hospital & facility affiliations

  • Onslow Memorial Hospital Hospital, Jacksonville, NC, CCN 340042

Merit-based Incentive Payment System (MIPS)

Final score
89.53 of 100Reported as group
Quality
90.05
Promoting interoperability
100
Improvement activities
40
Cost
75.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
39556NCMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Onslow Ambulatory Services, Inc. Current Accepting new patients
Onslow Ambulatory Services, Inc. CurrentSince Jul 5, 2020 Accepting new patients
Onslow Ambulatory Services, Inc. Pulmonary Disease CurrentSince Jul 5, 2020 Accepting new patients
Baptist St. Anthony'S Hospital Corporation Past Accepting new patients

Locations

241 New River Dr
Jacksonville, NC 28540
Phone (910) 430-4152

237 White St
Ste 1
Jacksonville, NC 28546
Phone (910) 577-4968

237 White St
#1
Jacksonville, NC 28546
Phone (910) 577-4968

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592524800000",
    "number": "1003853417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 MILL RUN RD",
            "city": "SNEADS FERRY",
            "state": "NC",
            "postal_code": "284609101",
            "telephone_number": "806-358-0200",
            "fax_number": "806-356-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 W 9TH AVE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061729",
            "telephone_number": "806-358-0200",
            "fax_number": "806-356-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUTON",
        "first_name": "HENRY",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NC",
            "license": "39556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129798806",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.