Bruce Carlson, BRUCE CARLSON

Primary specialty

PharmacistTaxonomy code 183500000X

License

22544 Issued in TX

Practice address

598 E Highway 290
Dripping Springs, TX 78620-3931

Phone

(512) 858-0314

NPI assigned

Aug 27, 2010

Last updated

Aug 27, 2010By the provider in NPPES

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 names 1

• Bruce Carlson Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282867200000",
    "number": "1831405851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 CLEAR CREEK LN",
            "city": "DRIPPING SPRINGS",
            "state": "TX",
            "postal_code": "786203931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "598 E HIGHWAY 290",
            "city": "DRIPPING SPRINGS",
            "state": "TX",
            "postal_code": "786203931",
            "telephone_number": "512-858-0314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "BRUCE",
        "credential": "BRUCE CARLSON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-27",
        "last_updated": "2010-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "22544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRUCE",
            "last_name": "CARLSON",
            "credential": "R.PH.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Les Cardiff
• Gianna Nicole Casarez-Quintana, DDS
• Amanda Cawley, PA-C
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• Pharmacist in Dripping Springs, TX
• Providers in Dripping Springs, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2010; 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.