DR. BRUCE D CARPENTER (NPI# 1346298031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346298031 |
| Entity Type | Individual |
| Full Name | DR. BRUCE D CARPENTER |
| Credential | M.D. |
| Practice Address |
2800 Village Rd 108 Granbury TX 76049-4193 |
| Mailing Address |
409 Glenwood St 500 Glen Rose TX 76043-4933 |
| Practice Telephone | 8175730444 |
| Practice Fax Number | 8175732733 |
| Mailing Telephone | 2548972202 |
| Mailing Fax Number | 2548971638 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2017-01-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | F6508 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 191011901 | 05 | |
| TX | 130769611 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891734588 | Bruce Michael Carpenter | Dentist | 8000 Nw 80th Place, Raiford, FL 32083 | 2006-06-06 |
| 1144256959 | Bruce Carpenter | Radiology | 94 Old Short Hills Rd, Livingston, NJ 07039-5672 | 2006-06-23 |
| 1306832233 | Bruce A Carpenter | Nurse Anesthetist, Certified Registered | 1912 Al Highway 157, Cullman, AL 35058-0609 | 2005-09-26 |
| Street Address |
2800 VILLAGE RD 108 |
| City | GRANBURY |
| State | TX |
| Zip Code | 76049-4193 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447600333 | Crissie Alayne Brock | Physician Assistant | 2800 Village Rd, # 108, Granbury, TX 76049-4193 | 2016-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033743802 | Debra Lynn Shearon | Nurse Practitioner | 3605 Pecan Arbor Ct, Granbury, TX 76049 | 2020-03-02 |
| 1841783255 | Adrienne Rhodes Montgomery | Dentist | 2600 James Rd Ste 100, Granbury, TX 76049 | 2018-06-11 |
| 1760920656 | Natalie Marie Alvarez | Occupational Therapist | 802 Rambling Ct, Granbury, TX 76049 | 2017-02-10 |
| 1982048948 | Luke A Chambless | Radiology | 5820 Long Drive, Granbury, TX 76049 | 2013-04-22 |
| 1053682732 | Mollie M Van Deusen | Counselor | 4425 E Hyw 377, Suite 116, Granbury, TX 76049 | 2012-01-26 |
| 1730469545 | Modern Dental Professionals Dallas/ft. Worth PC | Dentist | 3902 E. Us Highway 377, #100, Granbury, TX 76049 | 2011-08-24 |
| 1417242926 | H-e-b, Lp | Clinical Medical Laboratory | 3804 East Us Highway 377, Granbury, TX 76049 | 2011-06-13 |
| 1760502199 | Rebecca S. Shank Md Pa | Psychiatry & Neurology | 2003 Rockview Dr., Granbury, TX 76049 | 2007-03-30 |
| 1093843179 | Jason A Berry Dds Pa | Dentist | 2600 James Road, Ste #100, Granbury, TX 76049 | 2007-03-01 |
| 1265576516 | Darren Keith George | Family Medicine | 2003 Rockview Drive, Granbury, TX 76049 | 2007-02-19 |
| Find all providers in zip 76049 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265576516 | Darren Keith George | Family Medicine | 2003 Rockview Drive, Granbury, TX 76049 | 2007-02-19 |
| 1629163829 | Pat A. Thomas | Family Medicine | 701 Paluxy Rd, Granbury, TX 76048-2355 | 2006-10-04 |
| 1366537482 | Robert Louis Lee | Family Medicine | 805 Hill Blvd, Ste 103, Granbury, TX 76048-1482 | 2006-10-04 |
| 1295700300 | Paul S Bishop | Family Medicine | 2006 Fall Creek Hwy, Granbury, TX 76049-7913 | 2006-02-22 |
| 1073591848 | Tony Gene Hedges | Family Medicine | 601 Fall Creek Hwy, Granbury, TX 76049-7960 | 2006-01-03 |
| 1588656409 | Nance D Hicks | Family Medicine | 1220 Paluxy Medical Cir, Granbury, TX 76048-7901 | 2005-08-17 |
| 1790780930 | Charles Brooks Smith | Family Medicine | 805 Hill Blvd Unit 104, Granbury, TX 76048-1482 | 2005-06-15 |
| 1437627221 | Brooke Ann Grawet | Family Medicine | 805 Hill Blvd Unit 104, Granbury, TX 76048-1482 | 2018-11-09 |
| 1790118115 | Maria Edna Landero | Family Medicine | 601 Fall Creek Hwy, Granbury, TX 76049-7960 | 2013-08-21 |
| 1336457696 | Pat A. Thomas, D.o., P.a. | Family Medicine | 701 Paluxy Rd, Granbury, TX 76048-2355 | 2010-09-21 |
| Find all providers in GRANBURY | ||||
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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.