MEDICARE: DR. BRUCE MICHAEL WARD JR. D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	3842	SC

General Provider Information

NPI Number	:	1033541453
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRUCE MICHAEL WARD JR. D.C.

Provider Business Mailing Address
First Line	:	301 GLENWOOD AVE STE 200
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27603-1452
Country	:	US
Telephone Number	:	919-829-5757
Fax Number	:	919-829-5808

Provider Business Practice Location Address
First Line	:	301 GLENWOOD AVE STE 200
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27603-1452
Country	:	US
Telephone Number	:	919-829-5757
Fax Number	:	919-829-5808

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/08/2013
Last Update Date	:	06/05/2026

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