Carpenter, Bruce D

Carpenter, Bruce D is an sole proprietor health care provider with primary practice located at 2800 Village Rd 108, Granbury TX 76049-4193. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Carpenter, Bruce D can be contacted via phone (817) 573-0444.

Contact Information

Primary practice address
2800 Village Rd 108 Granbury TX 76049-4193
Fax: (817) 573-2733
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X F6508 Texas

Profile Details

NPI number 1346298031
LBN Legal business name Carpenter, Bruce D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2006
Last updated Jan 12th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346298031 NPPES
Texas MEDICAID 130769611
Texas MEDICAID 191011901

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