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Contact Information

DANIEL W BRUCE, MD
708 EVERETT ST
TIPTONVILLE, TN38079
 Phone: 731-882-1135
 Fax: 731-859-4404
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Legal Medicine

173000000X
Indicates primary specialty

NPI Profile & details for DANIEL W BRUCE · (Male)

NPI # 1508807736
Status Active
Credentials MD
Entity Individual
Enumeration date 06/09/2006
Last updated 08/31/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • TN License # MD23021
  • TN Medicaid 4447958
  • TN Other 21913 MEMPHIS MANAGED CARE
  • TN Other 182011 UNISON HEALTH PLAN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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