Individual provider Active NPI

Brett Stanley Bruce, DMD

  • General Practice Dentistry
  • Trussville, AL
National Provider Identifier
1346372794
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4827 Issued in AL
Practice address
6995 Gadsden Hwy
Trussville, AL 35173
Phone
(205) 655-8525
Fax
(205) 655-7494
NPI assigned
Mar 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4827 AL Primary

Addresses

Primary practice location

6995 Gadsden Hwy
Trussville, AL 35173

Mailing address

6995 Gadsden Hwy
Trussville, AL 35173
Phone (205) 655-8525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170227001177 AL Order and Referring Only - Other (Non-Physician) 3678857257

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4827ALMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346372794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6995 GADSDEN HWY",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "35173",
            "telephone_number": "205-655-8525",
            "fax_number": "205-655-7494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6995 GADSDEN HWY",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "35173",
            "telephone_number": "205-655-8525",
            "fax_number": "205-655-7494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCE",
        "first_name": "BRETT",
        "middle_name": "STANLEY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "4827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trussville, AL

Sources for this page

Verify at the official NPI Registry.