Bruce Edward Lantelme, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

96 01654 Issued in NC

Practice address

3288 Robinhood Rd
Suite 202
Winston Salem, NC 27106

Phone

(336) 768-3335

Fax

(336) 768-4171

NPI assigned

Aug 23, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jun 20, 2013 through Jun 20, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Robinhood Integrative Health, PLLC

  • Primary Care Clinic/Center
  • Winston Salem, NC
  • NPI 1760771406
  NPD (past) Authorized official
• Wake Forest University Baptist Medical Center Community Physicians

  • Family Medicine Physician
  • King, NC
  • NPI 1972596211
  NPD (past)
• Wake Forest University Health Sciences

  • Multi-Specialty Clinic/Center
  • Winston Salem, NC
  • NPI 1003803032
  NPD (past)

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331683200000",
    "number": "1770576019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3288 ROBINHOOD RD",
            "address_2": "SUITE 202",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271065464",
            "telephone_number": "336-768-3335",
            "fax_number": "336-768-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3288 ROBINHOOD RD",
            "address_2": "SUITE 202",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "27106",
            "telephone_number": "336-768-3335",
            "fax_number": "336-768-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANTELME",
        "first_name": "BRUCE",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2012-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "96 01654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "96-01654",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacora Langley, LCSWA
• Natalie Lanier, PT
• Barbara Ballow Lankton, MD
• Cynthia Reynolds Lanning, RN
• Tobbie Lanning, MA, CFY-SLP
• Patrick Eugene Lantz, MD
• Elizabeth Laprade, RBT, LCSW-A
• Denise Lapre, MSN FNP - C
• Maria Luz Lara-Marquez, MD, PHD
• Olivia Nicole Lardo, MD

• Family Medicine Physician in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.