Individual provider Active NPI

Bruce F Thompson, MD

  • Internal Medicine Physician
  • Southport, NC
National Provider Identifier
1942348727
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2022-00204 Issued in NC
Practice address
4222 Long Beach Rd SE
Southport, NC 28461-8627
Phone
(910) 454-4728
NPI assigned
Feb 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2022-00204 NC Primary

Addresses

Primary practice location

4222 Long Beach Rd SE
Southport, NC 28461-8627

Mailing address

924 N Howe St
Southport, NC 28461-3038
Phone (910) 763-3738

Other identifiers 6

IdentifierTypeStateIssuer
687964OtherNYUNITED HEALTHCARE
CP575OtherNYOXFORD ID#
46031OtherNYVYTRA ID #
166049-1OtherNYWORKERS COMPENSATION
134AU1OtherNYBLUE CROSS BLUE SHIELD
166049-1OtherNYLICENSE #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040329001534 NY Practitioner - Internal Medicine 9436041829 Reassigns benefits to 1 organization
Practice locations: St James, NY
I20240911002829 NC Practitioner - Internal Medicine 9436041829 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Internal Medicine, P.a.Group PAC ID 9133181886, 6 clinicians

Practice addresses (Care Compare)

2032 S 17TH St
Suite 101
Wilmington, NC 28401-6678
Phone (910) 763-3738

4222 Long Beach Rd SE
Southport, NC 28461-8627

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2022-00204NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
J. Arthur Dosher Memorial Hospital CurrentSince Nov 1, 2025 Accepting new patients
Coastal Internal Medicine, P.a. Internal Medicine CurrentSince Aug 1, 2024 Accepting new patients
CHS Physician Partners, P.C CurrentSince Feb 1, 2016 Accepting new patients
J. Arthur Dosher Memorial Hospital CurrentSince Nov 1, 2025 Accepting new patients
CHS Physician Partners, PC Current Accepting new patients
J Arthur Dosher Memorial Hospital CurrentSince Nov 1, 2025 Accepting new patients
J. Arthur Dosher Memorial Hospital Past Accepting new patients

Locations

924 N Howe St
Southport, NC 28461
Phone (910) 457-3800

4222 Long Beach Rd SE
Southport, NC 28461
Phone (910) 269-2053

2032 S 17th St
Ste 101
Wilmington, NC 28401
Phone (910) 763-3738

245 Old Country Rd
Melville, NY 11747
Phone (631) 465-6141

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800

403 Lake Ave
Saint James, NY 11780
Phone (631) 862-7062

48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540

1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BDCCCD

Organizations & group practices 8

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1942348727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 N HOWE ST",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284613038",
            "telephone_number": "910-763-3738",
            "fax_number": "910-763-0454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4222 LONG BEACH RD SE",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284618627",
            "telephone_number": "910-454-4728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "BRUCE",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2022-00204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "687964",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD ID#",
            "identifier": "CP575",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VYTRA ID #",
            "identifier": "46031",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION",
            "identifier": "166049-1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "134AU1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "166049-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southport, NC

Sources for this page

Verify at the official NPI Registry.