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Individual

DR. JOEL E BRUCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3033 EASTWAY DR STE 201, CHARLOTTE, NC 28205-6387
(704) 731-6451
(704) 731-6452
Mailing address
3158 FREEDOM DR STE 3102, CHARLOTTE, NC 28208-0014
(704) 971-7099
(704) 971-0035

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
19412
SC
207RN0300X
Nephrology Physician
Primary
96-00877
NC
207RN0300X
Nephrology Physician
MD043650L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
19287
BCBSNC
NC
01
20301
PARTNERS
NC
01
276910
MAMSI
NC
01
390004610
RR MEDICARE
NC
01
561550231K
CIGNA
NC
05
8919287
NC
05
N00877
SC
Enumeration date
04/26/2006
Last updated
04/14/2025
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