Healthcare Provider Details

I. General information

NPI: 1992025548
Provider Name (Legal Business Name): NATALIE ANN BRUCE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MS. NATALIE ANN BRUCE

II. Dates (important events)

Enumeration Date: 06/06/2010
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1415 W NC HIGHWAY 54 STE 124
DURHAM NC
27707-5578
US

IV. Provider business mailing address

1415 W NC HIGHWAY 54 STE 124
DURHAM NC
27707-5578
US

V. Phone/Fax

Practice location:
  • Phone: 919-443-6086
  • Fax: 919-890-9992
Mailing address:
  • Phone: 919-443-6086
  • Fax: 919-890-9992

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number2013-00638
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: