Individual
JAMES BRUCE CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
86 N MITCHELL AVE, BAKERSVILLE, NC 28705-6502
(828) 688-2104
(828) 688-1334
Mailing address
PO BOX 27, BAKERSVILLE, NC 28705-0027
(828) 688-2104
(828) 688-1334
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31781
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00513
BCBS
NC
01
—
014MX
BCBS LABS
NC
01
—
07673
BCBS PHYSICIAN
NC
01
—
212036D
MEDICARE PIN
NC
01
—
235013
MEDICARE PHYSICIAN
NC
01
—
235013B
MEDICARE PHYSICIAN
NC
01
—
3400011
MEDCAID
NC
01
—
411013849
MEDICARE RAILROAD
NC
01
—
8907673
MEDCAID PHYSICIAN
NC
05
—
8921331
—
NC
Enumeration date
07/07/2006
Last updated
11/28/2023
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