Bruce M Fox, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN084674 Issued in GA

Practice address

513 Benjamin Way
Suite 200
Dalton, GA 30721-4682

Phone

(716) 217-1795

Fax

(706) 217-1814

NPI assigned

May 21, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sentef Medical Center

  • Clinic/Center
  • Ooltewah, TN
  • NPI 1043418742
  Medicare reassignment NPD
• Liberty Healthcare Partners

  • General Practice Physician
  • Chattanooga, TN
  • NPI 1003529280
  NPD (past)

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

{
    "created_epoch": "1369094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369094400000",
    "number": "1063858819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8907 LONG SAVANNAH RD",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373635703",
            "telephone_number": "423-344-8586",
            "fax_number": "423-344-8586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 BENJAMIN WAY",
            "address_2": "SUITE 200",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307214682",
            "telephone_number": "716-217-1795",
            "fax_number": "706-217-1814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "BRUCE",
        "middle_name": "M",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-21",
        "last_updated": "2013-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN084674",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "RN0000067661",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Forshee/Carder Pharmacies, Inc. (Cherokee Vital Care)
• Forshee/Carder Pharmacies, Inc. (Cherokee Vital Care)
• Andrew Fournet, M.D.
• Amy Fouts, DNP, BSN, AGACNP-BC
• Joshua Fowler
• Kristen Fox, RN
• Shelly R. Fox, FNPC
• Fpa
• Dino Francescutti
• Frank's Pharmacy Inc

• Family Nurse Practitioner in Dalton, GA
• Providers in Dalton, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.