MICHELLE BRUIN


Address: 415 S. 2nd Street, Wilmington, NC 28401
Phone: 9193818824

MICHELLE BRUIN (NPI# 1518472588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518472588
Entity Type Individual
Full Name MICHELLE BRUIN
Credential ARNP
Practice Address 415 S. 2nd Street
Wilmington
NC 28401
Mailing Address 1342 Florida Ave Nw
Washington
DC 20009-4808
Practice Telephone 9193818824
Mailing Telephone 9193818824
Enumeration Date 2017-12-12
Last Update Date 2019-04-04
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Q00000X Family Medicine F10171409 NC Allopathic & Osteopathic Physicians
Y 207Q00000X Family Medicine RN1044808 DC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AANP F10171409 01

Office Location

Street Address 415 S. 2ND STREET
City WILMINGTON
State NC
Zip Code 28401

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275002461 Thrivetothrive, LLC Physical Therapist 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 2018-11-16
1841787454 Kevin Christopher Panebianco Family Medicine 1911 S 17th St Ste 130a, Wilmington, NC 28401 2018-04-18
1639617343 Anna Farwell Behavior Technician 3904 Oleander Dr. Suite 102, Wilmington, NC 28401 2017-02-02
1588034144 Dimitri Zivko Pitovski Allergy & Immunology 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 2015-09-25
1629457007 Megan Havel Counselor 1512 E Lakeshore Drive, Wilmington, NC 28401 2015-05-19
1154709251 Lance Hutchens Dentist 1611 Doctors Cir, Wilmington, NC 28401 2015-05-11
1609281161 Diane Pittman Whitford Counselor 313 Walnut St., Wilmington, NC 28401 2014-06-24
1942550728 Bryan Cole Chalk Nurse Anesthetist, Certified Registered 2131 S 17th Street, Wilmington, NC 28401 2012-09-19
1740566546 Valerie Baars Pharmacist 2302 S 17th Street, Wilmington, NC 28401 2011-10-25
1750601944 Adaptive Technologies, LLC Prosthetic/Orthotic Supplier 1960 South 17th Street, Suite 201, Wilmington, NC 28401 2010-06-10
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720693922 Delcare Health Solutions, LLC Family Medicine 2801 Lancaster Ave Ste E, Wilmington, DE 19805-5232 2020-09-14
1689288730 Web Doctors, Inc Family Medicine 4023 Kennett Pike # 50372, Wilmington, DE 19807-2018 2020-09-06
1184233884 Brittany Joyce Mcneil Family Medicine 1010 S 16th St, Wilmington, NC 28401-8018 2020-07-28
1003435256 Lindo Family Health & Wellness Care Family Medicine 5309 Limestone Rd Ste B, Wilmington, DE 19808-1222 2020-04-08
1588296784 Cityblock Medical Practice De, P.a. Family Medicine 1209 N Orange St, Wilmington, DE 19801-1120 2020-02-06
1033776323 Advanced Regenerative Care of Wilmington, Pllc Family Medicine 4421 Junction Park Dr Ste 200, Wilmington, NC 28412-2291 2019-05-22
1841787454 Kevin Christopher Panebianco Family Medicine 1911 S 17th St Ste 130a, Wilmington, NC 28401 2018-04-18
1417343609 Home Physicians Chesapeake, PC Family Medicine 300 Bellevue Pkwy, Suite 101, Wilmington, DE 19809-3704 2015-04-14
1952705725 Healing Hand Family Care Clinics Corp Family Medicine 1231 N. Avalon Blvd, Wilmington, CA 90744-2601 2014-10-22
1457779498 Toren Sidney Davis Jr. Family Medicine 2523 S. 17th Street, Wilmington, NC 28403-6003 2014-04-06
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City WILMINGTON
Zip Code 28401

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Dataset Information

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.

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