Individual provider Active NPI

Bruce C. McLeod, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Hendersonville, TN
National Provider Identifier
1255313078
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
7375 Issued in TN
Practice address
131 Indian Lake Blvd
Suite 100
Hendersonville, TN 37075-6210
Phone
(615) 822-8403
Fax
(615) 822-0542
NPI assigned
Nov 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 7375 TN Primary

Addresses

Primary practice location

131 Indian Lake Blvd
Suite 100
Hendersonville, TN 37075-6210

Mailing address

131 Indian Lake Blvd
Suite 100
Hendersonville, TN 37075-6210
Phone (615) 822-8403

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 10, 2022 through Nov 10, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7375TNMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel C. Burchfield, DMD Et Al PTR. Oral and Maxillofacial Surgery Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1255313078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 INDIAN LAKE BLVD",
            "address_2": "SUITE 100",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370756210",
            "telephone_number": "615-822-8403",
            "fax_number": "615-822-0542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 INDIAN LAKE BLVD",
            "address_2": "SUITE 100",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370756210",
            "telephone_number": "615-822-8403",
            "fax_number": "615-822-0542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEOD",
        "first_name": "BRUCE",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TN",
            "license": "7375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

Verify at the official NPI Registry.