CHARLES ALLEN BRUCE FNP-C NPI 1740646421

NPI Information

  • NPI: 1740646421
  • Provider Name: CHARLES ALLEN BRUCE, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1238 HIGHWAY 42
    SUMRALL, MS
    ZIP 39482
  • Phone: (601) 758-3100

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NPI Details

Charles Allen Bruce, FNP-C is a family nurse practitioner in Sumrall, MS with 11 years of experience. Charles Allen Bruce, FNP-C NPI is 1740646421. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1238 HIGHWAY 42
SUMRALL, MS
ZIP 39482-519
Phone: (601) 758-3100
Fax: (601) 758-3060

The NPI 1740646421 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 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.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Injection, ketorolac tromethamine, per 15 mg (HCPCS:J1885)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Automated urinalysis test (HCPCS:81003)
  • Injection, ceftriaxone sodium, per 250 mg (HCPCS:J0696)
  • 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc (HCPCS:U0002)
  • Testing for presence of drug, read by direct observation (HCPCS:80305)
  • Blood test, clotting time (HCPCS:85610)
  • Detection test by nucleic acid for multiple types influenza virus (HCPCS:87502)
  • Hemoglobin a1c level (HCPCS:83036)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)
  • Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Transitional care management services for problem of moderate complexity (HCPCS:99495)
  • Telephone medical discussion with physician, 21-30 minutes (HCPCS:99443)
  • Transitional care management services for problem of high complexity (HCPCS:99496)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 1/11/2016 and was last updated on 7/24/2020.

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
1363LF0000XNurse PractitionerFamily901427MISSISSIPPIYes

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
109931583MEDICAIDMISSISSIPPI

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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