Active NPI
Bruce Phillip McCoy, MD
- Dermatology Physician
- Greensboro, NC
National Provider Identifier
1750439188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 24271
- Practice address
- 526 North Elam Avenue
Suite 201
Greensboro, NC 27403-1132 - Phone
- (336) 855-6131
- Fax
- (336) 855-6132
- NPI assigned
- Jan 8, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 24271 | NC | Primary |
| Dermatopathology Physician | 207ND0900X | 24271 | NC |
Addresses
Primary practice location
526 North Elam Avenue
Suite 201
Greensboro, NC 27403-1132
Mailing address
526 North Elam Avenue
Suite 201
Greensboro, NC 27403-1132
Phone (336) 855-6131
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7393398 | Other | NC | AETNA |
| 4431617002 | Other | NC | CIGNA |
| 55821 | Other | NC | BCBS |
| 8955821 | Medicaid | NC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 24271 | NC | MD | Dermatopathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468627200000",
"number": "1750439188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "526 NORTH ELAM AVENUE",
"address_2": "SUITE 201",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274031132",
"telephone_number": "336-855-6131",
"fax_number": "336-855-6132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "526 NORTH ELAM AVENUE",
"address_2": "SUITE 201",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274031132",
"telephone_number": "336-855-6131",
"fax_number": "336-855-6132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOY",
"first_name": "BRUCE",
"middle_name": "PHILLIP",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2016-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NC",
"license": "24271",
"primary": true
},
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "NC",
"license": "24271",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7393398",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "4431617002",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "55821",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8955821",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.