Active NPI
Bruce Henry McFall, DO
- Family Medicine Physician
- Wilmington, DE
National Provider Identifier
1669465191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C2-0008353
- Practice address
- 1010 N Bancroft Pkwy
Suite 203
Wilmington, DE 19805-2690 - Phone
- (302) 652-2455
- Fax
- (302) 652-2444
- NPI assigned
- Aug 30, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Aerospace Medicine Physician | 2083A0100X | 2760 | OK | |
| Family Medicine Physician | 207Q00000X | C2-0008353 | DE | Primary |
Addresses
Primary practice location
1010 N Bancroft Pkwy
Suite 203
Wilmington, DE 19805-2690
Mailing address
10 Waterwheel Cir
Dover, DE 19901-6262
Phone (302) 698-0299
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C2-0008353 | DE | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319068800000",
"number": "1669465191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 WATERWHEEL CIR",
"city": "DOVER",
"state": "DE",
"postal_code": "199016262",
"telephone_number": "302-698-0299",
"fax_number": "302-677-2526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 N BANCROFT PKWY",
"address_2": "SUITE 203",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198052690",
"telephone_number": "302-652-2455",
"fax_number": "302-652-2444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCFALL",
"first_name": "BRUCE",
"middle_name": "HENRY",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-30",
"last_updated": "2011-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "2083A0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Aerospace Medicine",
"state": "OK",
"license": "2760",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "DE",
"license": "C2-0008353",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.