David Robert Bruce, LCSW, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C004665 Issued in NC

Practice address

1311 Westbrook Plaza Dr
Suite 100
Winston Salem, NC 27103-1327

Phone

(336) 659-8202

Fax

(336) 659-8206

NPI assigned

Sep 20, 2011

Last updated

Sep 20, 2011By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• The Epilepsy Institute of NC

  • Psychologist
  • Winston Salem, NC
  • NPI 1477939213
  NPD (past)

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

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316476800000",
    "number": "1073896767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24458",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271144458",
            "telephone_number": "336-659-8202",
            "fax_number": "336-659-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 WESTBROOK PLAZA DR",
            "address_2": "SUITE 100",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031327",
            "telephone_number": "336-659-8202",
            "fax_number": "336-659-8206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCE",
        "first_name": "DAVID",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "LCSW, MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-20",
        "last_updated": "2011-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NC",
            "license": "C004665",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darlene Brownlee, CRNP
• Kelly Ann Brozzetti-Cronin, M.D.
• Douglas Brtalik, D.O.
• Bruce M. Wheeler, DMD, PA
• Bruce R Bolling & Gwendolyn W Bolling PA
• Karen Elizabeth Bruestle-Wallace, PHARMD
• Joel Thomas Bruggen, MD
• Candace Leigh Brumley, OT STUDENT
• Nicole Marie Brunner, CNM
• Elizabeth F Brunson, MS/EDS, LCMHC, NCC

• Clinical Social Worker in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; 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.