Lisa Duke Bruce, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4507 Issued in AL

Practice address

8315 Whitesburg Dr S
Huntsville, AL 35802-3007

Phone

(256) 883-6770

Fax

(256) 883-8355

NPI assigned

Mar 8, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lisa D. Bruce, DMD, LLC

  dba Dental Professionals on Whitesburg

  • General Practice Dentistry
  • Huntsville, AL
  • NPI 1801927223
  NPD (past) Authorized official
• Dental Professionals on Whitesburg

  • Dental Clinic/Center
  • Huntsville, AL
  • NPI 1407279722
  NPD (past)

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740311281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8315 WHITESBURG DR S",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358023007",
            "telephone_number": "256-883-6770",
            "fax_number": "256-883-8355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8315 WHITESBURG DR S",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358023007",
            "telephone_number": "256-883-6770",
            "fax_number": "256-883-8355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCE",
        "first_name": "LISA",
        "middle_name": "DUKE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "4507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Browsky Counseling Center, LLC
• Browsky Counseling LLC
• Ashley Broyles
• Ginger Broyles
• Claire Bruce, MSN, AGACNP-BC
• Lita Shae Bruce, RBT
• Sara Louise Bruce
• Khamryn Amira Brumfield
• Bryan Russell
• Amy Bryan, LPC

• General Practice Dentistry in Huntsville, AL
• Providers in Huntsville, AL by specialty
• General Practice Dentistry in Alabama

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.