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General NPI Number Information
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NPI Number | 1922032325
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Entity Type | Individual
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Provider Name | BRUCE LEONARD M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 09/24/2024
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Provider Practice Location Address
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Address Line | PO BOX 2959
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City | ASHEVILLE
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State | NC
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Zip | 28802-2959
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Country | US
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Telephone | 828-693-0294
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Fax |
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Provider Business Mailing Address
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Address Line | 218 S HERLONG AVE
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City | ROCK HILL
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State | SC
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Zip | 29732-1158
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Country | US
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Telephone | 803-327-2828
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Fax | 803-329-1173
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 9501315
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 15873
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License Number State | SC
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