Carlton James Bruce, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

11712 Issued in NC

Practice address

298 Lincoln St SW
Concord, NC 28025-5469

Phone

(704) 792-2313

NPI assigned

Nov 25, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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": "1416873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1902203532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 NASSAU ST",
            "address_2": "UNIT 1509",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111542",
            "telephone_number": "404-275-1137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 LINCOLN ST SW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280255469",
            "telephone_number": "704-792-2313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 Commercial St",
            "address_purpose": "LOCATION",
            "city": "Mashpee",
            "state": "MA",
            "postal_code": "026496507",
            "country_code": "US",
            "telephone_number": "508-477-7090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUCE",
        "first_name": "CARLTON",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-25",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1856779",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "11712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Chase Brown, LCSWA
• Tiajia L Brown
• Tiffany N Brown
• Vincent David Brown, D.C.
• Katherine Leigh Broyhill, MS, CGC
• Jill McAllister Brumfield, NP
• Shaquila O'Shay Renee Brummitt, MSW, LCSW
• Dakota Griffin Brunswick, PA
• Valerie Brust
• Morgan Bruton

• Dentist in Concord, NC
• Providers in Concord, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.