| Doctor Name: | JON MICHAEL BRUCE |
| NPI Number: | 1659306819 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 2006-00963 |
| Business Practice Address: | 160 Macgregor Pines Dr Suite 310 Cary, NC - 275116036 |
| Business Phone Number: | 9192344470 |
| Business Fax Number: | 9192344475 |
| Mailing Address: | 120 William Penn Plz, Suite 310 DURHAM |
| State: | NC |
| Postal Code: | 277042150 |
| Phone Number: | 9192205255 |
| Fax Number: | 9193131276 |
| NPI Enumeration Date: | 07/12/2006 |
| NPI Last Update Date: | 08/20/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 2006-00963 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |