Individual
DR. BRUCE ROBERT THOMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
507 N 5TH ST, MEBANE, NC 27302-2202
(336) 578-7007
Mailing address
507 N 5TH ST, MEBANE, NC 27302-2202
(336) 578-7007
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1373
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0346K
BCBS
—
01
—
102673
MANAGED HEALTH NETWORK
—
01
—
12710
PARTNERS
—
01
—
13107
CIGNA
—
01
—
152706
VALUE OPTIONS
—
01
—
225104
PHCS
—
01
—
25392000
MAGELLAN
—
01
—
2816632
TRICARE
—
01
—
340895
MAMSI
—
01
—
5218107
AETNA
—
01
—
5591158
FIRST HEALTH
—
01
—
6135518
UNITED BEHAVIORAL HEALTH
—
Enumeration date
08/02/2006
Last updated
10/10/2011
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