Andrea Maureen Bruce, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

17397 Issued in MS

Practice address

701 S Holly Ave
Collins, MS 39428-3894

Phone

(601) 765-3180

Fax

(601) 765-2808

NPI assigned

Jun 10, 2005

Last updated

Mar 7, 2023By 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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Covington County HospitalGroup PAC ID 4183517253, shared by 16 NPIs, 44 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health & Hospice Home health agency, Hattiesburg, MS, CCN 257091
• Adoration Home Health Home health agency, Collins, MS, CCN 257087
• Covington County Hospital Cah Hospital, Collins, MS, CCN 251325
• Jasper General Hospital Hospital, Bay Springs, MS, CCN 250018
• Magee General Hospital Hospital, Magee, MS, CCN 250124

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Locations

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.

• Covington County Hospital

  dba Family Care of Main Street

  • Rural Health Clinic/Center
  • Collins, MS
  • NPI 1518260330
  Medicare reassignment NPD
• Covington County Hospital

  dba CCH Clinic Family Medical

  • Rural Health Clinic/Center
  • Collins, MS
  • NPI 1598769044
  Medicare reassignment NPD
• Covington County Hospital

  dba Covington Health Sumrall

  • Rural Health Clinic/Center
  • Sumrall, MS
  • NPI 1659995538
  NPD

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

• Amedisys Mississippi, LLC

  dba Adoration Home Health

  • Home Health Agency
  • Collins, MS
  • NPI 1467400168
  Care Compare affiliation
• Covington County Hospital

  • Critical Access Hospital
  • Collins, MS
  • NPI 1215965249
  Care Compare affiliation
• Home Health Care Systems, Inc.

  dba Enhabit Home Health & Hospice

  • Home Health Agency
  • Hattiesburg, MS
  • NPI 1760416754
  Care Compare affiliation
• Jasper General Hospital

  • General Acute Care Hospital
  • Bay Springs, MS
  • NPI 1396730164
  Care Compare affiliation
• South Central Regional Medical Center

  dba Magee General Hospital

  • General Acute Care Hospital
  • Magee, MS
  • NPI 1679553994
  Care Compare affiliation

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1295739894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2499",
            "city": "COLLINS",
            "state": "MS",
            "postal_code": "394282499",
            "telephone_number": "601-765-3180",
            "fax_number": "601-765-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 S HOLLY AVE",
            "city": "COLLINS",
            "state": "MS",
            "postal_code": "394283894",
            "telephone_number": "601-765-3180",
            "fax_number": "601-765-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCE",
        "first_name": "ANDREA",
        "middle_name": "MAUREEN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-10",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "17397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00124844",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roger Kyle Bass, D.M.D.
• Jason Gregory Beasley, M.D.
• Lindsay Ray Bergman, LISW-S, LCSW
• Dashara P Booth
• Cody Lee Broom
• Karen H Bruce, M.D.
• Linda B Buffington, FNP
• C & C Drugs Inc
• C & C Drugs Inc
• Caleb's Hometown Pharmacy

• Family Medicine Physician in Collins, MS
• Providers in Collins, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.