Bruce Medical PLLC

Primary specialty

Obesity Medicine (Internal Medicine) PhysicianTaxonomy code 207RB0002X

Legal business name

BRUCE MEDICAL PLLC

Practice address

160 Macgregor Pines Dr Ste 109
Cary, NC 27511-6037

Phone

(919) 609-6388

NPI assigned

May 18, 2022

Organization subpart

No

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

Authorized official

Name

Anthony Fratello III

Title

Operations Manager

Phone

(919) 390-2848

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jon Michael Bruce, MD

  • Surgery Physician
  • Cary, NC
  • NPI 1659306819
  Medicare reassignment Care Compare group NPD
• Teena Ruby Gore, ACNPC-AG

  • Nurse Practitioner
  • Cary, NC
  • NPI 1336767185

  Surgery

  Medicare reassignment Care Compare group NPD
• Michael Anthony Tyner, MD

  • Surgery Physician
  • Cary, NC
  • NPI 1013948421
  Medicare reassignment Care Compare group NPD
• Kristen Drury

  • Physician Assistant
  • Winchester, VA
  • NPI 1861956435

  NC

  Medicare reassignment Care Compare group
• Carlos Alfredo Mijares

  • Physician Assistant
  • Davie, FL
  • NPI 1396308573

  NC

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683504000000",
    "number": "1306583620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 MACGREGOR PINES DR STE 310A",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275116036",
            "telephone_number": "919-390-2848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 MACGREGOR PINES DR STE 109",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275116037",
            "telephone_number": "919-609-6388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-18",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A",
        "authorized_official_last_name": "FRATELLO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "919-390-2848",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "207RB0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Scott Brown, PA-C
• Karen S Browne
• Isla Shaw Brownell
• Kelsey McKenna Brownfield
• Charles Thomas Browning Sr., MD
• Faith Elizabeth Bruce
• Jon Michael Bruce, MD
• Sawyer Bruce
• Joseph Walter Bruckert, M.D.
• Lisa Bruckner

• Obesity Medicine (Internal Medicine) Physician in Cary, NC
• Providers in Cary, NC by specialty
• Obesity Medicine (Internal Medicine) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.