Active NPI
Bruce Alexander More, PA
- Physician Assistant
- New Bern, NC
National Provider Identifier
1790716538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 100720
- Practice address
- 1040 Medical Park Ave
New Bern, NC 28562-5248 - Phone
- (252) 633-1678
- Fax
- (252) 633-1403
- NPI assigned
- Jul 6, 2006
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 100720 | NC | Primary |
Addresses
Primary practice location
1040 Medical Park Ave
New Bern, NC 28562-5248
Mailing address
1040 Medical Park Ave
New Bern, NC 28562-5248
Phone (252) 633-1678
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100720 | NC | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249603200000",
"number": "1790716538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 MEDICAL PARK AVE",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285625248",
"telephone_number": "252-633-1678",
"fax_number": "252-633-1403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 MEDICAL PARK AVE",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285625248",
"telephone_number": "252-633-1678",
"fax_number": "252-633-1403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORE",
"first_name": "BRUCE",
"middle_name": "ALEXANDER",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-06",
"last_updated": "2009-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "100720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Bern, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.