Individual provider Active NPI

Arthur M Labruce, M.D,

  • Family Medicine Physician
  • North Charleston, SC
National Provider Identifier
1699708776
Registry record updated May 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
SC4952 Issued in SC
Practice address
9231 Medical Plaza Dr
Suite E
North Charleston, SC 29406-9101
Phone
(843) 572-1771
Fax
(843) 572-8962
NPI assigned
Jul 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X SC4952 SC
Family Medicine Physician 207Q00000X SC4952 SC Primary
Otolaryngology Physician 207Y00000X SC4952 SC

Addresses

Primary practice location

9231 Medical Plaza Dr
Suite E
North Charleston, SC 29406-9101

Mailing address

9231 Medical Plaza Dr
Suite E
North Charleston, SC 29406
Phone (843) 572-1771

Other identifiers 1

IdentifierTypeStateIssuer
049520MedicaidSC

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

LicenseStateTypeSpecialty
4952SCMDPharmacist
SC4952SCMDAllergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gray'S Pain Relief Center, LLC Past Accepting new patients
Advantage Healthcare of Charleston LLC PastSince Jan 31, 2011 Accepting new patients
Goose Creek Physical Medicine LLC Past Accepting new patients
Back 2 Health LLC Past Accepting new patients
Palmetto Infusion Services LLC Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336953600000",
    "number": "1699708776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9231 MEDICAL PLAZA DR",
            "address_2": "SUITE E",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "29406",
            "telephone_number": "843-572-1771",
            "fax_number": "843-572-8962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9231 MEDICAL PLAZA DR",
            "address_2": "SUITE E",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069101",
            "telephone_number": "843-572-1771",
            "fax_number": "843-572-8962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABRUCE",
        "first_name": "ARTHUR",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2012-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "SC",
            "license": "SC4952",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "SC4952",
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "SC",
            "license": "SC4952",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "049520",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; 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.