Active NPI
Valarian An-Tawn Bruce, MD
- Family Medicine Physician
- Hartsville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 33861
- Practice address
- 1268 S 4TH St
Hartsville, SC 29550-0703 - Phone
- (843) 332-3422
- Fax
- (843) 332-3985
- NPI assigned
- Jul 3, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 33861 | SC | Primary |
Addresses
Primary practice location
1268 S 4TH St
Hartsville, SC 29550-0703
Mailing address
PO Box 1090
Hartsville, SC 29551-1090
Phone (843) 857-0111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 338619 | Medicaid | SC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | valarian.bruce@mpaii.eclinicaldirectplus.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130910000911 | SC | Practitioner - Family Practice | 6204070485 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Caresouth Carolina Inc.
Practice addresses (Care Compare)
1268 S 4TH St
Hartsville, SC 29550-0703
Phone (843) 332-3422
545 Sumter Hwy
Bishopville, SC 29010-7601
Phone (803) 484-5317
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33861 | SC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLeod Physician Associates II | Family Medicine | Current | Accepting new patients |
| McLeod Regional Medical Center of the Pee Dee, Inc | Current | Accepting new patients | |
| Caresouth Carolina, Inc. | Current | Accepting new patients | |
| McLeod Regional Medical Center of the Pee Dee, Inc | Family Medicine | Current | Accepting new patients |
| McLeod Physician Associates II | Current | Accepting new patients | |
| Caresouth Carolina, Inc | Past | Accepting new patients |
Locations
800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337
800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950
555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233
3013 W Palmetto St
#B
Florence, SC 29501
Phone (843) 777-7393
1268 S 4th St
Ste A
Hartsville, SC 29550
Phone (843) 332-3422
1268 S 4th St
Hartsville, SC 29550
Phone (843) 332-3422
Interoperability endpoints
- vbruce26567@directmcleodehealth.org
- valarian.bruce@mpaii.eclinicaldirectplus.com
Organizations & group practices 16
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.
-
- Family Medicine Physician
- Florence, SC
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Family Medicine, SC
-
- Emergency Medical Services (Emergency Medicine) Physician
- Florence, SC
- NPI 1154371433
Family Medicine, SC
-
- Federally Qualified Health Center (FQHC)
- Society Hill, SC
- NPI 1194763714
-
- Federally Qualified Health Center (FQHC)
- Bennettsville, SC
- NPI 1568859130
-
- Federally Qualified Health Center (FQHC)
- Bennettsville, SC
- NPI 1639458672
-
- Federally Qualified Health Center (FQHC)
- Latta, SC
- NPI 1972980621
-
- Federally Qualified Health Center (FQHC)
- Dillon, SC
- NPI 1255762936
-
- Federally Qualified Health Center (FQHC)
- Cheraw, SC
- NPI 1285677443
-
- Federally Qualified Health Center (FQHC)
- Bennettsville, SC
- NPI 1457398521
-
- Federally Qualified Health Center (FQHC)
- Chesterfield, SC
- NPI 1629015755
-
- Federally Qualified Health Center (FQHC)
- Bishopville, SC
- NPI 1942247846
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757980800000",
"number": "1730476342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1090",
"city": "HARTSVILLE",
"state": "SC",
"postal_code": "295511090",
"telephone_number": "843-857-0111",
"fax_number": "843-309-8126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1268 S 4TH ST",
"city": "HARTSVILLE",
"state": "SC",
"postal_code": "295500703",
"telephone_number": "843-332-3422",
"fax_number": "843-332-3985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUCE",
"first_name": "VALARIAN",
"middle_name": "AN-TAWN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-03",
"last_updated": "2025-09-16",
"certification_date": "2025-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "33861",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "338619",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "valarian.bruce@mpaii.eclinicaldirectplus.com",
"affiliation": "N",
"endpointDescription": "ECW DA",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "EHR",
"address_1": "3013 W Palmetto St",
"address_2": "Suite B",
"city": "Florence",
"state": "SC",
"country_code": "US",
"postal_code": "295015935",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hartsville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.