Active NPI
Bartel Locker Debruyne, PHARM.D
- Pharmacist
- Durham, NC
National Provider Identifier
1710905658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16010
- Practice address
- 4711 Hope Valley Rd
Woodcroft Shopping Center
Durham, NC 27707-5651 - Phone
- (919) 493-5722
- Fax
- (919) 493-0470
- NPI assigned
- Jul 18, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 16010 | NC | Primary |
Addresses
Primary practice location
4711 Hope Valley Rd
Woodcroft Shopping Center
Durham, NC 27707-5651
Mailing address
4711 Hope Valley Rd
Woodcroft Shopping Center
Durham, NC 27707-5651
Phone (919) 493-5722
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16010 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710905658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4711 HOPE VALLEY RD",
"address_2": "WOODCROFT SHOPPING CENTER",
"city": "DURHAM",
"state": "NC",
"postal_code": "277075651",
"telephone_number": "919-493-5722",
"fax_number": "919-493-0470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4711 HOPE VALLEY RD",
"address_2": "WOODCROFT SHOPPING CENTER",
"city": "DURHAM",
"state": "NC",
"postal_code": "277075651",
"telephone_number": "919-493-5722",
"fax_number": "919-493-0470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEBRUYNE",
"first_name": "BARTEL",
"middle_name": "LOCKER",
"name_prefix": "Dr.",
"credential": "PHARM.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "16010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
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.