Individual
BRUCE KENNETH BACOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11 VANDERBILT PARK DR, ASHEVILLE, NC 28803-1700
(828) 213-1740
(828) 213-1742
Mailing address
PO BOX 15268, ASHEVILLE, NC 28813-0268
(828) 250-2833
(828) 665-8275
Taxonomy
Speciality
Code
Description
License number
State
2080P0201X
Pediatric Allergy/Immunology Physician
9701689
NC
2080P0214X
Pediatric Pulmonology Physician
Primary
9701689
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89127MM
—
NC
Enumeration date
01/19/2006
Last updated
05/16/2011
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