Active NPI
Bruce McLeod
- Registered Nurse
- Florence, SC
National Provider Identifier
1760072466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- P13111
- Practice address
- 805 Pamplico Hwy
Florence, SC 29505-6047 - Phone
- (843) 674-5099
- NPI assigned
- Jan 26, 2021
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | P13111 | SC | Primary |
Addresses
Primary practice location
805 Pamplico Hwy
Florence, SC 29505-6047
Mailing address
513 E Cricklewood Dr
Florence, SC 29505-5104
Phone (843) 615-2962
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P13111 | Other | SC | SCLRR |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P13111 | SC | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611619200000",
"number": "1760072466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "513 E CRICKLEWOOD DR",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295055104",
"telephone_number": "843-615-2962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 PAMPLICO HWY",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295056047",
"telephone_number": "843-674-5099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLEOD",
"first_name": "BRUCE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-01-26",
"last_updated": "2021-01-26",
"certification_date": "2021-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "SC",
"license": "P13111",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SCLRR",
"identifier": "P13111",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Florence, SC
- McLeod Regional Medical Center of the Pee Dee, Inc.
- McLeod Regional Medical Center of the Pee Dee, Inc.
- McLeod Regional Medical Center of the Pee Dee, Inc. (McLeod Ambulatory Surgery Center)
- Andrea McLeod
- Ashlee McLeod, PT
- Linda Gail McLeod, DC
- Micaela J McManus
- Marion Reynolds McMillan III, MD
- Ashley McNeil, PHARMD
- Jennifer Lynn McNeill, APRN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.