Individual
DR. BRUCE F THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4222 LONG BEACH RD SE, SOUTHPORT, NC 28461-8627
(910) 454-4728
Mailing address
924 N HOWE ST, SOUTHPORT, NC 28461-3038
(910) 763-3738
(910) 763-0454
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2022-00204
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
134AU1
BLUE CROSS BLUE SHIELD
NY
01
—
166049-1
WORKERS COMPENSATION
NY
01
—
46031
VYTRA ID #
NY
01
—
687964
UNITED HEALTHCARE
NY
01
—
CP575
OXFORD ID#
NY
Enumeration date
02/02/2007
Last updated
01/15/2026
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