Carrie L Bruce

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

1405 N Delsea Dr
Vineland, NJ 08360-2291

Phone

(856) 794-1011

NPI assigned

May 6, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• The Southwest Council, Inc.

  • Community/Behavioral Health Agency
  • Salem, NJ
  • NPI 1770221160
  NPD
• The Southwest Council, Inc.

  • Community/Behavioral Health Agency
  • Vineland, NJ
  • NPI 1639670755
  NPD (past)

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

{
    "created_epoch": "1651795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1437895133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 N DELSEA DR",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083602291",
            "telephone_number": "856-794-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 N DELSEA DR",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083602291",
            "telephone_number": "856-794-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCE",
        "first_name": "CARRIE",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-06",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "22-3127567",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yvonne Brooks, LPN
• Brian Brown, PAC
• Ciara Brown
• Sharon Brown, APN
• Tara Brown, DO
• Scott Bruggeworth, D.M.D
• Christopher Ryan Bruno, MD
• Laura J Bruno, L.C.S.W.
• Cornell J. Brunson, MS, LCADC
• Bromiley Bryan

• Peer Specialist in Vineland, NJ
• Providers in Vineland, NJ by specialty
• Peer Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.