Granger, Bruce Todd

Granger, Bruce Todd is an sole proprietor health care provider with primary practice located at 11312 Us 15 501 N Suite 106, Chapel Hill NC 27517-6375. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Granger, Bruce Todd can be contacted via phone (919) 533-4686.

Contact Information

Primary practice address
11312 Us 15 501 N Suite 106 Chapel Hill NC 27517-6375
Phone: (919) 533-4686
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 36189 North Carolina

Profile Details

NPI number 1164483046
LBN Legal business name Granger, Bruce Todd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 30th, 2006
Last updated Oct 13th, 2016 - about 8 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 1164483046 NPPES
North Carolina MEDICAID 7936725
North Carolina Other 110079482

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