Bruce James Wisthoff

Primary specialty

PharmacistTaxonomy code 183500000X

License

9566 Issued in TN

Practice address

1260 NW Broad St
Murfreesboro, TN 37129-1713

Phone

(615) 890-3323

NPI assigned

Oct 15, 2012

Sex

Male

Sole proprietor

No

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": "1350259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350259200000",
    "number": "1932451911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 ERVIN ST",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753917",
            "telephone_number": "615-431-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 NW BROAD ST",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371291713",
            "telephone_number": "615-890-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISTHOFF",
        "first_name": "BRUCE",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-15",
        "last_updated": "2012-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "9566",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26014178A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonya Lee Wisdom, LPTA
• Mary C Wise, OTR
• Jami Wiseman, ATC
• Tiffany Paige Wiseman, PMHNP
• Wiser Behavioral Health LLC
• Bettena Witherspoon, APRN
• Christina Catherine Witt, M.S. CCC-SLP
• Mary Angela Witt, M.M.F.T.
• Elizabeth Christine Wittmann, M.C.D.
• Timothy Max Witzigreuter Sr., OPA-C

• Pharmacist in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; 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.