Active NPI
Kathryn Therese Bruce, NATIONALLY CERTIFIED
- Specialist
- Shelby Township, MI
National Provider Identifier
1457569493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 47100 Schoenherr Rd Ste D
Shelby Township, MI 48315-4714 - Phone
- (586) 685-0505
- NPI assigned
- May 21, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | NU | Primary |
Addresses
Primary practice location
47100 Schoenherr Rd Ste D
Shelby Township, MI 48315-4714
Mailing address
24139 Quad Park LN
Clinton TWP, MI 48035-3022
Phone (586) 792-7416
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457569493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24139 QUAD PARK LN",
"city": "CLINTON TWP",
"state": "MI",
"postal_code": "480353022",
"telephone_number": "586-792-7416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47100 SCHOENHERR RD STE D",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "483154714",
"telephone_number": "586-685-0505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUCE",
"first_name": "KATHRYN",
"middle_name": "THERESE",
"name_prefix": "Ms.",
"credential": "NATIONALLY CERTIFIED",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shelby Township, MI
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.