Active NPI
Bruce S. Barker, D.M.D.
- General Practice Dentistry
- Raleigh, NC
National Provider Identifier
1386857076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5202
- Practice address
- 7610 Falls of Neuse Rd
Suite 250
Raleigh, NC 27615-3349 - Phone
- (919) 847-7100
- Fax
- (919) 676-3578
- NPI assigned
- May 8, 2007
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5202 | NC | Primary |
Addresses
Primary practice location
7610 Falls of Neuse Rd
Suite 250
Raleigh, NC 27615-3349
Mailing address
7610 Falls of Neuse Rd
Suite 250
Raleigh, NC 27615-3349
Phone (919) 847-7100
Medicare participation
Medicare enrollment files- 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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171020002925 | NC | Order and Referring Only - Oral Surgery | 9436470739 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5202 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bruce S Barker DMD PA | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Raleigh, NC
- NPI 1174530265
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386857076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7610 FALLS OF NEUSE RD",
"address_2": "SUITE 250",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276153349",
"telephone_number": "919-847-7100",
"fax_number": "919-676-3578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7610 FALLS OF NEUSE RD",
"address_2": "SUITE 250",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276153349",
"telephone_number": "919-847-7100",
"fax_number": "919-676-3578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARKER",
"first_name": "BRUCE",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "5202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.