Bruce C Harris, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

30360 Issued in NC

Practice address

208 Old Mocksville Rd
Statesville, NC 28625-1930

Phone

(704) 838-8220

NPI assigned

Aug 19, 2005

Sex

Male

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)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Piedmont Healthcare PA

  • Gastroenterology Physician
  • Statesville, NC
  • NPI 1326503806
  NPD (past)
• Piedmont Healthcare PA

  • Durable Medical Equipment & Medical Supplies
  • Mooresville, NC
  • NPI 1699951988
  NPD (past)
• Piedmont Healthcare, P.a.

  • Durable Medical Equipment & Medical Supplies
  • Statesville, NC
  • NPI 1205014024
  NPD (past)
• Piedmont Healthcare, P.a.

  • Obstetrics & Gynecology Physician
  • Statesville, NC
  • NPI 1538653449
  NPD (past)
• Piedmont Healthcare, P.a.

  • Durable Medical Equipment & Medical Supplies
  • Statesville, NC
  • NPI 1740468552
  NPD (past)
• Piedmont Healthcare, P.a.

  • Durable Medical Equipment & Medical Supplies
  • Statesville, NC
  • NPI 1750567467
  NPD (past)
• Piedmont Healthcare, PA

  • Internal Medicine Physician
  • Statesville, NC
  • NPI 1003389396
  NPD (past)
• Piedmont Healthcare, PA

  • Family Medicine Physician
  • Statesville, NC
  • NPI 1043780935
  NPD (past)
• Piedmont Healthcare, PA

  • Family Medicine Physician
  • Mooresville, NC
  • NPI 1194298489
  NPD (past)
• Piedmont Healthcare, PA

  • Family Medicine Physician
  • Mooresville, NC
  • NPI 1205306180
  NPD (past)
• Piedmont Healthcare, PA

  • Family Medicine Physician
  • Mooresville, NC
  • NPI 1225501877
  NPD (past)
• Piedmont Healthcare, PA

  • Internal Medicine Physician
  • Statesville, NC
  • NPI 1225548597
  NPD (past)

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201132800000",
    "number": "1477545911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 SIGNAL HILL DRIVE EXT",
            "address_2": "PO BOX 1845",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286254353",
            "telephone_number": "704-873-4277",
            "fax_number": "704-873-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 OLD MOCKSVILLE RD",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286251930",
            "telephone_number": "704-838-8220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "BRUCE",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2008-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "30360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8939838",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Marie Harknett, MD
• Helen Harless
• Shameka Lorine Harley, LCSW
• Elizabeth Catherine Harpe, FNP-C
• Harper & Associates Therapeutic Services LLC
• Emily Bryan Harris, FNP-C
• Julian Walter Harris, RPH
• Kimberly Harris, LPN
• Richard Alexander Harris Jr., PA-C
• Richard Carter Harris, RPH

• All providers in Statesville, NC
• Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; 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.