Individual provider Active NPI

Bruce Jaufmann, M.D.

  • Neurological Surgery Physician
  • Pinehurst, NC
National Provider Identifier
1225134109
Registry record updated Jun 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
36741 Issued in NC
Practice address
5 First Village Dr
Pinehurst, NC 28374-8724
Phone
(910) 295-0215
Fax
(910) 295-0218
NPI assigned
Sep 16, 2006
Last updated
Jun 25, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 36741 NC Primary

Addresses

Primary practice location

5 First Village Dr
Pinehurst, NC 28374-8724

Mailing address

PO Box 9788
Belfast, ME 04915-9788
Phone (910) 295-0215

Other identifiers 3

IdentifierTypeStateIssuer
45847OtherNCBLUE CROSS BLUE SHIELD
FH2967575OtherNCFIRSTCAROLINA CARE
8945847MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080923000258 NC Practitioner - Neurosurgery 5799852422 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36741NCMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Firsthealth of the Carolinas, Inc Dba Firsthealth Weight Management Clinic CurrentSince Sep 1, 2008 Accepting new patients
Firsthealth of the Carolinas, Inc. Current Accepting new patients
Carolina Neurosurgical Services, P.a. Neurological Surgery Past Accepting new patients

Locations

3650 Cape Center Dr
Fayetteville, NC 28304
Phone (910) 483-0049

3650 Cape Center Dr
Ste 100
Fayetteville, NC 28304
Phone (910) 484-9802

10 Aviemore Dr
Pinehurst, NC 28374
Phone (910) 215-5555

5 First Village Dr
Pinehurst, NC 28374
Phone (910) 235-2713

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372118400000",
    "number": "1225134109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9788",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049159788",
            "telephone_number": "910-295-0215",
            "fax_number": "910-295-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 FIRST VILLAGE DR",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748724",
            "telephone_number": "910-295-0215",
            "fax_number": "910-295-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAUFMANN",
        "first_name": "BRUCE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2013-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NC",
            "license": "36741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "45847",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTCAROLINA CARE",
            "identifier": "FH2967575",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8945847",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinehurst, NC

Sources for this page

Verify at the official NPI Registry.