BRUCE WAYNE WALSH (NPI# 1699922302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699922302 |
| Entity Type | Individual |
| Full Name | BRUCE WAYNE WALSH |
| Practice Address |
355 C1 S. Madison Blvd Roxboro NC 27573 |
| Mailing Address |
104 New Stateside Dr Chapel Hill NC 27516-1165 |
| Practice Telephone | 3365998366 |
| Practice Fax Number | 3363226168 |
| Mailing Telephone | 9199422803 |
| Mailing Fax Number | 9199422126 |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2008-08-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1977 | NC | Behavioral Health & Social Service Providers |
| Street Address |
355 C1 S. MADISON BLVD |
| City | ROXBORO |
| State | NC |
| Zip Code | 27573 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043786783 | Caitlin Elissa Seidler | Physician Assistant | 910 N Madison Blvd Ste B, Roxboro, NC 27573 | 2018-10-21 |
| 1467821801 | Iris W Jackola | Nurse Practitioner | 796 Doctor's Court, Roxboro, NC 27573 | 2015-09-16 |
| 1568897213 | Person County Group Homes, Inc. | Community/Behavioral Health | 607 Henry Street, Roxboro, NC 27573 | 2013-09-12 |
| 1760820336 | J-1 Consultants LLC | Psychologist | 315 Old Allensville Road, Roxboro, NC 27573 | 2013-06-05 |
| 1932445749 | Ronnie Lee Chandler | Pharmacist | 109 North Main St., Roxboro, NC 27573 | 2012-12-26 |
| 1154559581 | Roxboro Medaccess Primary Care | Clinic/Center | 3762 Durham Road, Roxboro, NC 27573 | 2009-06-24 |
| 1033232020 | Person County Department of Social Services | Durable Medical Equipment & Medical Supplies | 355-b South Madison Blvd, Roxboro, NC 27573 | 2007-04-06 |
| 1417095886 | Thomas Jones Day Jr. | Dentist | 407 North Main St, Roxboro, NC 27573 | 2007-02-01 |
| 1578622288 | Corey Wayne Wilson | Dentist | 112 West Barden Street, Roxboro, NC 27573 | 2006-12-08 |
| 1609954213 | Signe Offenberg | Social Worker | 355 C South Madison Blvd, Roxboro, NC 27573 | 2006-11-01 |
| Find all providers in zip 27573 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780291500 | Teresa Michelle Johnson | Counselor | 2850 Virgilina Rd, Roxboro, NC 27574-8226 | 2020-09-25 |
| 1457978264 | Bryan Kevin Clayton | Counselor | 210 N Charles St, Roxboro, NC 27573-4904 | 2020-06-26 |
| 1427573625 | Crissy Sue Schmieder | Counselor | 225 S Madison Blvd Ste F, Roxboro, NC 27573-5463 | 2017-08-08 |
| 1568618908 | Program Resource Institute | Counselor | 309 S Madison Blvd, Roxboro, NC 27573-5429 | 2008-08-18 |
| 1508021080 | Matchbox Health Services Corporation | Counselor | 203 N Main St Ste 216, Roxboro, NC 27573-5343 | 2008-07-23 |
| 1225208978 | Martha Mellette Pickett | Counselor | 355 C1 Madison Blvd., Roxboro, NC 27573-5485 | 2008-03-10 |
| 1215138946 | Chasity L. Davis | Counselor | 355 S Madison Blvd Ste C1, Roxboro, NC 27573-5485 | 2007-05-30 |
| 1184703241 | Terri Ann Hamrick | Counselor | 33 Abbitt St, Suite 108, Roxboro, NC 27573-5201 | 2006-11-02 |
| 1639538572 | Ernestine Stewart | Counselor | 102 N Main St, 4, Roxboro, NC 27573-5574 | 2016-02-21 |
| 1972987972 | Shenita Paulette Mangum | Counselor | 355 S Madison Blvd, Suite C1, Roxboro, NC 27573-5485 | 2015-07-20 |
| Find all providers in ROXBORO | ||||
Please comment or provide details below to improve the information on BRUCE WAYNE WALSH.
| 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.