BRUCE H WELLMON DPM PA NPI 1821282146

NPI Information

NPI: 1821282146
Provider Name: BRUCE H WELLMON DPM PA
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address: 101 PROFESSIONAL PARK
GAFFNEY, SC
ZIP 29340
Phone: (864) 487-5516

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NPI Details

BRUCE H WELLMON DPM PA is a durable medical equipment medical supplies in Gaffney, SC. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. BRUCE H WELLMON DPM PA NPI is 1821282146. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

101 PROFESSIONAL PARK
GAFFNEY, SC
ZIP 29340
Phone: (864) 487-5516
Fax: (864) 487-3477

The provider's authorized official is Bruce H Wellmon .
The authorized official title is Dpm and has the following contact phone number (864) 487-5516.

The enumeration date for this NPI number is 8/29/2007 and was last updated on 8/29/2022.

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	213E00000X	Podiatrist	86	SOUTH CAROLINA	No
2	213E00000X	Podiatrist	216	NORTH CAROLINA	No
3	213E00000X	Podiatrist	1738	FLORIDA	No
4	332B00000X	Durable Medical Equipment & Medical Supplies	86	SOUTH CAROLINA	Yes

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
1	DM0706	OTHER	SOUTH CAROLINA	MEDICAID DME
2	8908156	MEDICAID	NORTH CAROLINA
3	PD0868	MEDICAID	SOUTH CAROLINA

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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