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NPI Code Detail

MEDICARE: DR. BRUCE F THOMPSON MD

MEDICARE:  DR. BRUCE F THOMPSON  MD
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
1207R00000XInternal Medicine Physician2022-00204NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1687964OTHERNYUNITED HEALTHCARE
2CP575OTHERNYOXFORD ID#
346031OTHERNYVYTRA ID #
4166049-1OTHERNYWORKERS COMPENSATION
5134AU1OTHERNYBLUE CROSS BLUE SHIELD
6166049-1OTHERNYLICENSE #

General Provider Information

NPI Number : 1942348727
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRUCE F THOMPSON MD
Provider Business Mailing Address
First Line : 924 N HOWE ST
Second Line :
City : SOUTHPORT
State : NC
Zip : 28461-3038
Country : US
Telephone Number : 910-763-3738
Fax Number : 910-763-0454
Provider Business Practice Location Address
First Line : 4222 LONG BEACH RD SE
Second Line :
City : SOUTHPORT
State : NC
Zip : 28461-8627
Country : US
Telephone Number : 910-454-4728
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2007
Last Update Date : 01/15/2026

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Directions to “ DR. BRUCE F THOMPSON MD” Practice Location

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