MR. BRUCE EDWARD MCKAY (NPI# 1326074238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326074238 |
| Entity Type | Individual |
| Full Name | MR. BRUCE EDWARD MCKAY |
| Credential | PA-C |
| Practice Address |
4111 Wendell Blvd Wendell NC 27591-6831 |
| Practice Telephone | 9193658484 |
| Practice Fax Number | 9193658450 |
| Mailing Telephone | 9193658484 |
| Mailing Fax Number | 9193658450 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2016-01-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
10-00068 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 290159500 | 05 |
| Street Address |
4111 WENDELL BLVD |
| City | WENDELL |
| State | NC |
| Zip Code | 27591-6831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477518413 | Robert Eric Clayton | Family Medicine | 4111 Wendell Blvd, Wendell, NC 27591-6831 | 2006-04-20 |
| 1730739475 | Juliette Dewitt Parks | Physician Assistant | 4111 Wendell Blvd, Wendell, NC 27591-6831 | 2019-09-15 |
| 1083877997 | Mtm&m Pllc | Family Medicine | 4111 Wendell Blvd, Wendell, NC 27591-6831 | 2008-07-10 |
| 1619182383 | Luvae Southerland | Physician Assistant | 4111 Wendell Blvd, Wendell, NC 27591-6831 | 2007-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063054872 | Monarch | Community/Behavioral Health | 1245 Hawks Perch Way, Wendell, NC 27591 | 2019-10-14 |
| 1922500792 | New Stone Helath Group Inc | Nurse Practitioner | 7408 Seimans Dr, Wendell, NC 27591 | 2018-03-07 |
| 1801235635 | Altruist Home Care | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 120 Mangums Drive, Wendell, NC 27591 | 2013-06-14 |
| 1902118243 | Rsi Medical Family Practice | Non-Pharmacy Dispensing Site | 2600 Hwy 97, Wendell, NC 27591 | 2010-07-01 |
| 1366618514 | Merlin W Young Dds Pa | Dentist | 3111 Wendell Blvd, Wendell, NC 27591 | 2008-05-07 |
| 1548449366 | Betty Maria Culver | Custodial Care Facility | 7309 Hunt Valley Trail, Wendell, NC 27591 | 2007-10-29 |
| 1639364227 | Wendell Medical Center Pa | Family Medicine | 217 Cook Street, Wendell, NC 27591 | 2007-09-07 |
| 1508982695 | Hollybrook Care Facility | Custodial Care Facility | 130 Harris Street, Wendell, NC 27591 | 2007-03-21 |
| 1528138443 | Merlin W Young | Dentist | 3111 Wendell Boulevard, Wendell, NC 27591 | 2006-11-08 |
| 1366525149 | Vardy Chiropractic and Wellness Clinics | Massage Therapist | 2825 Wendell Blvd., Wendell, NC 27591 | 2006-10-23 |
| Find all providers in zip 27591 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598005233 | Right Choice Urgent Care and Family Medicine | Physician Assistant | 280 W Main St, Wendell, ID 83355-5201 | 2013-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403884 | Billy Scott II | Physician Assistant | 3000 Rogers Rd Ste 100, Wake Forest, NC 27587-5745 | 2020-10-05 |
| 1982213765 | Michaela Lynne Mcbride | Physician Assistant | 9541 Kings Parade Blvd Unit 107, Charlotte, NC 28273-5819 | 2020-07-28 |
| 1386260347 | Elizabeth Warrington Maiche | Physician Assistant | 113 Montgomery Dr, Saluda, NC 28773-7787 | 2020-06-24 |
| 1831715663 | John Wheary | Physician Assistant | 3233 Austin Ave, New Bern, NC 28562-7084 | 2020-06-17 |
| 1629692439 | Julie Anne Augustine | Physician Assistant | 718 S Green St, Winston Salem, NC 27101-5112 | 2020-06-08 |
| 1659995710 | Kristopher Neal Priddy | Physician Assistant | 405 Forest Hill Dr, Shelby, NC 28150-5520 | 2020-06-04 |
| 1710500558 | Christian Wright Fulenwider | Physician Assistant | 104 Linden St, Morganton, NC 28655-3788 | 2020-05-27 |
| 1366065500 | Lisa Lynn Carder | Physician Assistant | 904 Foxcroft Cir Apt D, Shelby, NC 28152-6868 | 2020-05-22 |
| 1982234282 | Brandon Sorkin | Physician Assistant | 280 Executive Park Drive, Suite 100, Concord, NC 28025-2802 | 2020-01-25 |
| 1245860618 | Robert Maughan | Physician Assistant | 129 Bryce Creek Ln, Fayetteville, NC 28303-4981 | 2020-01-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.