Active NPI
Bobby Wayne Bruce Jr., L.M.T. / M.M.P.
- Massage Therapist
- Gadsden, AL
National Provider Identifier
1902220163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 3948
- Practice address
- 244 S 5TH St
Gadsden, AL 35901-4222 - Phone
- (256) 467-4811
- NPI assigned
- Feb 9, 2014
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 3948 | AL | Primary |
Addresses
Primary practice location
244 S 5TH St
Gadsden, AL 35901-4222
Mailing address
244 S 5TH St
Gadsden, AL 35901-4222
Phone (256) 467-4811
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3948 | AL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leaf & Stone Spa, LLC | Massage Therapist | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Massage Therapist
- Scottsboro, AL
- NPI 1689531022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411516800000",
"number": "1902220163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "244 S 5TH ST",
"city": "GADSDEN",
"state": "AL",
"postal_code": "359014222",
"telephone_number": "256-467-4811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "244 S 5TH ST",
"city": "GADSDEN",
"state": "AL",
"postal_code": "359014222",
"telephone_number": "256-467-4811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUCE",
"first_name": "BOBBY",
"middle_name": "WAYNE",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "L.M.T. / M.M.P.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-02-09",
"last_updated": "2014-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AL",
"license": "3948",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gadsden, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.