Bruce Edward McKay, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

10-00068 Issued in NC

Practice address

4111 Wendell Blvd
Wendell, NC 27591-6831

Phone

(919) 365-8484

Fax

(919) 365-8450

NPI assigned

Jun 23, 2006

Last updated

Jan 30, 2016By the provider in NPPES

Sex

Male

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 NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• MTM&M PLLC

  dba Acts Medical

  • Family Medicine Physician
  • Wendell, NC
  • NPI 1083877997
  NPD (past)

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454112000000",
    "number": "1326074238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 WENDELL BLVD",
            "city": "WENDELL",
            "state": "NC",
            "postal_code": "275916831",
            "telephone_number": "919-365-8484",
            "fax_number": "919-365-8450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 WENDELL BLVD",
            "city": "WENDELL",
            "state": "NC",
            "postal_code": "275916831",
            "telephone_number": "919-365-8484",
            "fax_number": "919-365-8450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKAY",
        "first_name": "BRUCE",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2016-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "10-00068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "290159500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lifelink DME
• Sylvia Wood Lockamy
• Jonathan M Lutz, O.D.
• Ashleigh Shiela Matia, BSN,RN
• Kayla McCann
• Michaela Elaine Meadows
• Carrie Anne Meckler, LCMHC LCAS
• Merlin W Young DDS PA
• Emily Ward Mizell
• Monarch

• Medical Physician Assistant in Wendell, NC
• Providers in Wendell, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.