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Contact Information

MICHAEL L BRUIN, MD
516 S VAN BUREN RD
EDEN, NC27288-5019
 Phone: 336-623-6862
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
 

Hospice and Palliative Medicine

2081H0002X 25 Physician/Physical Medicine and Rehabilitation
 

Medical Oncology

207RX0202X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MICHAEL L BRUIN · (Male)

NPI Number 1437119997
Status Active
Credentials MD
Entity Individual
Enumeration date 03/27/2006
Last updated 03/12/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036102870
  • MO License # 2020024355
  • NC License # 2021-02075
  • SC License # 90760
  • IL Medicaid 036102870
Hospital affiliation(s)
  • MOREHEAD MEMORIAL HOSPITAL - (Acute Care)
    117 E KINGS HIGHWAY
    EDEN, NC 27288
  • UNIVERSITY OF NORTH CAROLINA HOSPITAL - (Acute Care)
    101 MANNING DRIVE
    CHAPEL HILL, NC 27514
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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