Bruce H Wellmon Dpm Pa

LBN: Bruce H Wellmon Dpm Pa
Bruce H Wellmon Dpm Pa is an health care organization with primary practice located at 101 Professional Park , Gaffney SC 29340. The organization recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Suppliers / Durable Medical Equipment & Medical Supplies. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Bruce H Wellmon Dpm Pa can be contacted via phone (864) 487-5516, or through Wellmon, Bruce H via phone (864) 487-5516.

Contact Information

Primary practice address
101 Professional Park Gaffney SC 29340
Phone: (864) 487-5516
Fax: (864) 487-3477
Website:
Map and Directions
Authorized official contact:
Name: Wellmon, Bruce H Doctor of Podiatric Medicine (DPM)
Phone: (864) 487-5516

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 86 South Carolina
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 216 North Carolina
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 1738 Florida
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 86 South Carolina

Profile Details

NPI number 1821282146
LBN Legal business name Bruce H Wellmon Dpm Pa
DBA Doing business as
Authorized official Wellmon, Bruce H Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 29th, 2007
Last updated Aug 29th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821282146 NPPES
South Carolina Other DM0706 MEDICAID DME
South Carolina MEDICAID 8908156 MEDICAID DME
South Carolina MEDICAID PD0868 MEDICAID DME

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