NPIMap

Individual provider Active NPI

Joel E Bruce, M.D.

  • Nephrology Physician
  • Charlotte, NC
National Provider Identifier
1154387199
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
96-00877 Issued in NC
Practice address
3033 Eastway Dr Ste 201
Charlotte, NC 28205-6387
Phone
(704) 731-6451
Fax
(704) 731-6452
NPI assigned
Apr 26, 2006
Last updated
Apr 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD043650L PA
Nephrology Physician 207RN0300X 96-00877 NC Primary
Nephrology Physician 207RN0300X 19412 SC

Addresses

Primary practice location

3033 Eastway Dr Ste 201
Charlotte, NC 28205-6387

Mailing address

3158 Freedom Dr Ste 3102
Charlotte, NC 28208-0014
Phone (704) 971-7099

Other identifiers 7

IdentifierTypeStateIssuer
8919287MedicaidNC
20301OtherNCPARTNERS
390004610OtherNCRR MEDICARE
561550231KOtherNCCIGNA
19287OtherNCBCBSNC
N00877MedicaidSC
276910OtherNCMAMSI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jbruce65709@direct.acumenmd.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060504000031 SC Practitioner - NephrologyPractitioner - Internal Medicine 1254341647 Reassigns benefits to 1 organization
I20080220000521 NC Practitioner - NephrologyPractitioner - Internal Medicine 1254341647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Metrolina Nephrology Associates PAGroup PAC ID 8022916600, 85 clinicians

Practice addresses (Care Compare)

1975 Carolna Place Dr
Fort Mill, SC 29708-6922
Phone (704) 348-2992

3033 Eastway Dr
Suite 201
Charlotte, NC 28205-6386
Phone (704) 731-6451

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
96-00877NCMDNephrology Physician
MD043650LPAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Renal Associates PA CurrentSince Jan 1, 1993 Accepting new patients
Metrolina Nephrology Associates, PA Nephrology CurrentSince Feb 1, 2010 Accepting new patients

Locations

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

1300 Baxter St
Ste 215
Charlotte, NC 28204

2301 W Morehead St
Charlotte, NC 28208
Phone (704) 333-4217

2301 W Morehead St
Ste B
Charlotte, NC 28208
Phone (704) 497-0824

2711 Randolph Rd
Ste 400
Charlotte, NC 28207
Phone (704) 342-1900

3033 Eastway Dr
Ste 201
Charlotte, NC 28205
Phone (704) 316-4517

3158 Freedom Dr
Ste 3102
Charlotte, NC 28208
Phone (704) 731-6857

2544 Court Dr
Ste F
Gastonia, NC 28054
Phone (704) 864-8302

1975 Carolna Place Dr
Fort Mill, SC 29708
Phone (803) 802-3027

505 S Pearl St
#A
Pageland, SC 29728
Phone (704) 333-4217

Interoperability endpoints

  • Direct secure messaging: jbruce499759@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: jbruce65709@direct.acumenmd.com

Organizations & group practices 2

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.

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1154387199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3158 FREEDOM DR STE 3102",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282080014",
            "telephone_number": "704-971-7099",
            "fax_number": "704-971-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 EASTWAY DR STE 201",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282056387",
            "telephone_number": "704-731-6451",
            "fax_number": "704-731-6452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCE",
        "first_name": "JOEL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD043650L",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NC",
            "license": "96-00877",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "SC",
            "license": "19412",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8919287",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS",
            "identifier": "20301",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "390004610",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "561550231K",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "19287",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N00877",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "276910",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbruce65709@direct.acumenmd.com",
            "affiliation": "N",
            "endpointDescription": "Acumen Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CED",
            "address_1": "3033 Eastway Dr Ste 201",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282056387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.