DR. BRUCE RONALD CARLTON M.D. NPI 1093802589

NPI Information

  • NPI: 1093802589
  • Provider Name: DR. BRUCE RONALD CARLTON, M.D.
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • CLIA Number: 05D0904610
  • Address: 292 ALAMO DR STE 2
    VACAVILLE, CA
    ZIP 95688
  • Phone: (707) 448-2218

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NPI Details

DR. Bruce Ronald Carlton, M.D. is a specialist in Vacaville, CA with 58 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Bruce Ronald Carlton, M.D. NPI is 1093802589. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: DUKE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1968

The provider's business location address is:

292 ALAMO DR STE 2
VACAVILLE, CA
ZIP 95688-243
Phone: (707) 448-2218
Fax: (707) 453-1602

The NPI 1093802589 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 CLIA number assigned to this NPI record is 05D0904610 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
  • Therapy procedure using ultraviolet radiation with tar or petroleum jelly application (HCPCS:96910)
  • Destruction of skin growth, 1-14 growths (HCPCS:17110)
  • Destruction of precancer skin growth, 1 growth (HCPCS:17000)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • Fungal culture (mold or yeast) of skin, hair, or nail (HCPCS:87101)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Destruction of precancer skin growth, 15 or more growths (HCPCS:17004)
  • Incision biopsy, first skin growth (HCPCS:11106)
  • Injection into skin growth, more than 7 growths (HCPCS:11901)
  • Destruction of skin growth, 15 or more growths (HCPCS:17111)
  • Incision biopsy, each additional skin growth (HCPCS:11107)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Smear for infectious agents (HCPCS:87210)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 10/6/2006 and was last updated on 7/8/2007.

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 Taxonomy Specialization License Number License State Primary
1174400000XSpecialistG22448CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A41579MEDICARE UPINCALIFORNIA
200G224481MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
300G224480MEDICAIDCALIFORNIA
400G224481MEDICAIDCALIFORNIA
500G224480MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

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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