Anna Catherine Bruce, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3815-15 Issued in MS

Practice address

215 Highway 51 N
Brookhaven, MS 39601

Phone

(601) 823-1710

Fax

(601) 825-8130

NPI assigned

Jun 30, 2015

Last updated

Jul 4, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• LA PPO C-SNP

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.

• Family Health Care Clinic, Inc

  • Federally Qualified Health Center (FQHC)
  • Brookhaven, MS
  • NPI 1689816001
  NPD (past)

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530662400000",
    "number": "1073996765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24116",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392254116",
            "telephone_number": "601-825-7280",
            "fax_number": "601-825-8130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 HIGHWAY 51 N",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "39601",
            "telephone_number": "601-823-1710",
            "fax_number": "601-825-8130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "445 Main St E",
            "address_purpose": "LOCATION",
            "city": "Meadville",
            "state": "MS",
            "postal_code": "396539293",
            "country_code": "US",
            "telephone_number": "601-823-1710",
            "fax_number": "601-825-8130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUCE",
        "first_name": "ANNA",
        "middle_name": "CATHERINE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-30",
        "last_updated": "2018-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "3815-15",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08206565",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brookhaven Urology, PA
• Brown Chiropractic Clinic, LLC
• Bathsheba Brown
• Elizabeth Whitaker Brown, MSN, RN
• Stacy Maurice Brown, FNP-BC
• Shana M Brumfield Lewis
• Carol A Buckels, FNP-BC
• Michael Burch, CNLP, CH
• Charles Nickolas Burns, RN, MSN
• Kimberly Burr, ATC,LAT

• General Practice Dentistry in Brookhaven, MS
• Providers in Brookhaven, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2018; 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.