Active NPI
Bruce Arthur Lessey, MD
- Reproductive Endocrinology Physician
- Winston Salem, NC
National Provider Identifier
1477509263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reproductive Endocrinology Physician
- License
- 29614
- Practice address
- 131 Miller St
Winston Salem, NC 27103-2508 - Phone
- (336) 716-2255
- NPI assigned
- May 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 23592 | SC | |
| Reproductive Endocrinology Physician | 207VE0102X | 23592 | SC | |
| Reproductive Endocrinology Physician | 207VE0102X | 29614 | NC | Primary |
Addresses
Primary practice location
131 Miller St
Winston Salem, NC 27103-2508
Mailing address
Medical Center Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2255
Other practice location 1
890 W Faris Rd
Suite 470
Greenville, SC 29605-4247
Phone (864) 455-6444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| APPROVED | Medicaid | SC |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29614 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenville Health System | Past | Accepting new patients |
Interoperability endpoints
- blessey2754216@carolinashealthcaresystem.direct-ci.com
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 Acute Care Hospital
- Simpsonville, SC
- NPI 1679992838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548806400000",
"number": "1477509263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MEDICAL CENTER BLVD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271570001",
"telephone_number": "336-716-2255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 MILLER ST",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271032508",
"telephone_number": "336-716-2255"
}
],
"practiceLocations": [
{
"address_1": "890 W Faris Rd",
"address_2": "Suite 470",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296054247",
"country_code": "US",
"telephone_number": "864-455-6444",
"fax_number": "864-455-3095",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LESSEY",
"first_name": "BRUCE",
"middle_name": "ARTHUR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-25",
"last_updated": "2019-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "SC",
"license": "23592",
"primary": false
},
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "SC",
"license": "23592",
"primary": false
},
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "NC",
"license": "29614",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "APPROVED",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.