Active NPI
Bruce J. Denenny, MD
- Anesthesiology Physician
- Greensboro, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 200001363
- Practice address
- 3625 N Elm St
Suite 110a
Greensboro, NC 27455-2604 - Phone
- (336) 282-4840
- Fax
- (336) 282-4660
- NPI assigned
- May 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 200001363 | NC | Primary |
Addresses
Primary practice location
3625 N Elm St
Suite 110a
Greensboro, NC 27455-2604
Mailing address
3625 N Elm St
Suite 110a
Greensboro, NC 27455-2604
Phone (336) 282-4840
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5706467 | Medicaid | VA | |
| 128EK | Other | NC | BCBS |
| 89128EK | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Anesthesiology Associates, P.a. | Anesthesiology | Current | Accepting new patients |
| Southeast Anesthesiology Consultants, PLLC | Anesthesiology | Current | Accepting new patients |
| Southeast Anesthesiology Consultants, PLLC | Anesthesiology | Current | Accepting new patients |
| Southeast Anesthesiology Consultants, PLLC | Anesthesiology | Current | Accepting new patients |
| Greensboro Anesthesia Physicians,PC | Anesthesiology | Past | Accepting new patients |
| American Anesthesiology of North Carolina, PLLC | Anesthesiology | Past | Accepting new patients |
Locations
1918 Randolph Rd
Ste 740
Charlotte, NC 28207
Phone (704) 316-0810
131 Providence Rd
Ste 200
Charlotte, NC 28207
Phone 70474958001101
801 Green Valley Rd
Greensboro, NC 27408
Phone (336) 282-4840
1720 Davie Ave
Statesville, NC 28677
Phone (704) 871-0081
2520 Independence Blvd
Ste 200
Wilmington, NC 28412
Phone (910) 442-1100
Organizations & group practices 6
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269475200000",
"number": "1346290277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3625 N ELM ST",
"address_2": "SUITE 110A",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274552604",
"telephone_number": "336-282-4840",
"fax_number": "336-282-4660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3625 N ELM ST",
"address_2": "SUITE 110A",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274552604",
"telephone_number": "336-282-4840",
"fax_number": "336-282-4660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENENNY",
"first_name": "BRUCE",
"middle_name": "J.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2010-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NC",
"license": "200001363",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5706467",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "128EK",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89128EK",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; 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.