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Deactivated NPI 1134462138 Deactivated / Inactive NPI Male Practitioner

Dr. Robert Douglas Bruce , MD

General Practice • Fort Campbell, KY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Robert Bruce has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 28, 2013
NPI Deactivation Date December 16, 2022
Total Practice Duration ~9 Years of Practice (2013 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Bruce, MD was a registered General Practice practicing in Fort Campbell, KY. Throughout an active medical career spanning 9 years, Dr. Bruce provided care at the practice location at 650 JOEL DR until profile deactivation on 2022-12-16.

Practice Location & Contact Primary Location

Practice Address

650 Joel Dr

Fort Campbell, KY 422235318

Telephone 2077988388
Associated Practice Facility / Clinic
🏢 Ach Blanchfield-Ft Campbell Facility NPI 1417044702

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Fort Campbell, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 32.1 Yrs
Regional Practice Density
10 Specialists

Practicing in Fort Campbell, KY (142 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License NE 28260

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Lisa Cordell , RN

Registered Nurse

NPI 1003134073

Registered Nurse

Samantha Winder , ATC

Specialist/Technologist - Athletic Trainer

NPI 1003143249

Certified Athletic Trainer

Kathleen Groff , FNP-BC

Nurse Practitioner

NPI 1003312984

Family Nurse Practitioner (Board Certified)

Lindsay Davis

Counselor - Professional

NPI 1003319799
Dr. Jeffrey Sanford , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1003470709

Doctor of Medicine (M.D.)

Erik Flolo , LMSW

Social Worker - Clinical

NPI 1003477605

Licensed Master Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
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NPI Profile Deactivated December 16, 2022

Record deactivated on December 16, 2022

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 19, 2022

General Practice (License #28260 in NE)

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Updated Practice Location June 27, 2018

Registered at SAN ANTONIO MILITARY MEDICAL CENTER, MCHE-ZDM-P, PCCM, 3551 ROGER BROOKE DRIVE, JBSA-FORT SAM HOUSTON, TX 782344504 (Tel: 2109162153)

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Updated Business Mailing Address June 27, 2018

Registered at SAN ANTONIO MILITARY MEDICAL CENTER, MCHE-ZDM-P, PCCM, 3551 ROGER BROOKE DRIVE, JBSA-FORT SAM HOUSTON, TX 782344504 (Tel: 2109162153)

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 27, 2018

Internal Medicine (License #28260 in NE)

NPI Profile Active September 02, 2016

NPI status registered as active in NPPES database

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Updated Practice Location September 02, 2016

Registered at 650 JOEL DR, FORT CAMPBELL, KY 422235318 (Tel: 2077988388)

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Updated Business Mailing Address September 02, 2016

Registered at 650 JOEL DR, FORT CAMPBELL, KY 422235318 (Tel: 2077988388)

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Provider Name / Credentials Updated September 02, 2016

Recorded as ROBERT BRUCE, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 02, 2016

General Practice (License #28260 in NE)

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Initial NPI Registration & Enumeration March 28, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1134462138
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 28, 2013
Last Update: September 02, 2016
Deactivation Date: December 16, 2022

Mailing Address

650 Joel Dr

Fort Campbell, KY 422235318

Phone: 2077988388

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.