Individual provider Active NPI

Bruce S. Barker, D.M.D.

  • General Practice Dentistry
  • Raleigh, NC
National Provider Identifier
1386857076
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5202 Issued in NC
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

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171020002925 NC Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9436470739

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5202NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.