Active NPI
Bruce Nursing Center, Inc.
- Nursing Facility/Intermediate Care Facility
- Bruce, MS
National Provider Identifier
1013048453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- 667
- Legal business name
- BRUCE NURSING CENTER, INC.
- Practice address
- 176 Hwy 9 South
Bruce, MS 38915 - Phone
- (662) 412-5100
- Fax
- (662) 412-5122
- NPI assigned
- Mar 8, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stan Northrip
- Title
- Administrator
- Phone
- (662) 412-5100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 667 | MS | Primary |
Addresses
Primary practice location
176 Hwy 9 South
Bruce, MS 38915
Mailing address
PO Box 1280
Bruce, MS 38915-1280
Phone (662) 412-5100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00230046 | Medicaid | MS |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Speech-Language Pathologist
- Bruce, MS
- NPI 1437581485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1013048453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1280",
"city": "BRUCE",
"state": "MS",
"postal_code": "389151280",
"telephone_number": "662-412-5100",
"fax_number": "662-412-5122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "176 HWY 9 SOUTH",
"city": "BRUCE",
"state": "MS",
"postal_code": "38915",
"telephone_number": "662-412-5100",
"fax_number": "662-412-5122"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRUCE NURSING CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-08",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "NORTHRIP",
"authorized_official_first_name": "STAN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "662-412-5100"
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "MS",
"license": "667",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00230046",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bruce, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.