NPIMap

Organization Active NPI

Karen M Bruce MD PLLC

  • Family Medicine Physician
  • Magee, MS
National Provider Identifier
1780778928
Registry record updated Feb 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
18675 Issued in MS
Legal business name
KAREN M BRUCE MD PLLC
Practice address
360 Simpson Highway 149
Suite 350
Magee, MS 39111-3841
Phone
(601) 849-1200
Fax
(601) 849-3112
NPI assigned
Oct 3, 2006
Last updated
Feb 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2011

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

Authorized official

Name
Dr. Karen Hemphill Bruce, M.D.
Title
President
Phone
(601) 849-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 18675 MS Primary

Addresses

Primary practice location

360 Simpson Highway 149
Suite 350
Magee, MS 39111-3841

Mailing address

360 Simpson Highway 149
Suite 350
Magee, MS 39111-3841
Phone (601) 849-1200

Other identifiers 1

IdentifierTypeStateIssuer
00725822MedicaidMS

National Provider Directory

National Provider Directory

Locations

360 Simpson Highway 149
Ste 350
Magee, MS 39111
Phone (601) 849-1200

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296604800000",
    "number": "1780778928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 SIMPSON HIGHWAY 149",
            "address_2": "SUITE 350",
            "city": "MAGEE",
            "state": "MS",
            "postal_code": "391113841",
            "telephone_number": "601-849-1200",
            "fax_number": "601-849-3112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 SIMPSON HIGHWAY 149",
            "address_2": "SUITE 350",
            "city": "MAGEE",
            "state": "MS",
            "postal_code": "391113841",
            "telephone_number": "601-849-1200",
            "fax_number": "601-849-3112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN M BRUCE MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2011-02-02",
        "status": "A",
        "authorized_official_last_name": "BRUCE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "HEMPHILL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-849-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "18675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00725822",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Magee, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.