Active NPI
Bruce Edward Davies, DC
- Chiropractor
- Dunn, NC
National Provider Identifier
1376737148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1824
- Practice address
- 721 Tilghman Dr
Suite 200
Dunn, NC 28334-6063 - Phone
- (910) 897-0200
- NPI assigned
- Sep 5, 2007
- Last updated
- Apr 24, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1824 | NC | Primary |
Addresses
Primary practice location
721 Tilghman Dr
Suite 200
Dunn, NC 28334-6063
Mailing address
PO Box 1754
Dunn, NC 28335-1754
Phone (910) 897-0200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8908967 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1824 | NC | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429833600000",
"number": "1376737148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1754",
"city": "DUNN",
"state": "NC",
"postal_code": "283351754",
"telephone_number": "910-897-0200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 TILGHMAN DR",
"address_2": "SUITE 200",
"city": "DUNN",
"state": "NC",
"postal_code": "283346063",
"telephone_number": "910-897-0200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIES",
"first_name": "BRUCE",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-05",
"last_updated": "2015-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "1824",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8908967",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dunn, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.