MICHAEL BRUSS DO NPI 1053802850

NPI Information

NPI: 1053802850
Provider Name: MICHAEL BRUSS, DO
Classification: General Practice - 208D00000X
Entity Type: Individual
PECOS Registration: Yes
Address: 300 W 27TH ST
LUMBERTON, NC
ZIP 28358
Phone: (910) 671-5000

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NPI Details

Michael Bruss, DO is a general practice in Lumberton, NC with 8 years of experience. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Michael Bruss, DO NPI is 1053802850. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF PIKEVILLE, KENTUCKY COLLEGE OF OSTEOPATHIC MED
Graduation Year:2018

The provider's business location address is:

300 W 27TH ST
LUMBERTON, NC
ZIP 28358-075
Phone: (910) 671-5000

The NPI 1053802850 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/29/2018 and was last updated on 1/18/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	207P00000X	Emergency Medicine	34.016206	OHIO	No
2	390200000X	Student in an Organized Health Care Education/Training Program			No
3	208D00000X	General Practice	2022-00836	NORTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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