BRUCE M. DISTELL M.D. – NPI #1245235001
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Health Care Provider Taxonomy Code for Radiology

BRUCE DISTELL is a radiologist located in FAYETTEVILLE, NC. NPPES has assigned the NPI number 1245235001 to BRUCE DISTELL on June 17, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 3 years ago on Oct 30, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BRUCE DISTELL below.

NPI Profile for
BRUCE M. DISTELL

NPI Number
1245235001
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
BRUCE M. DISTELL
Credentials
M.D.
Primary location
3186 VILLAGE DR STE 201
FAYETTEVILLE, NC 28304-3979
Phone: (910) 486-5700 Fax: (910) 486-5950
Mailing address
3186 VILLAGE DR 201
FAYETTEVILLE, NC 28304-3979
Phone: (910) 486-5700 Fax: (910) 486-5950
Sole Proprietor
No
Updated
Certification Date
Oct 30, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for BRUCE DISTELL

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidNC891140T
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)		 NC 33497

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA - Graduated 1986
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
BRUCE DISTELL is affiliated with the following medical group(s):
  • HOSPITAL
    • BETSY JOHNSON REGIONAL HOSPITAL
      800 TILGHMAN DR
      DUNN, NC 28334
    • CAPE FEAR VALLEY HOKE HOSPITAL
      210 MEDICAL PAVILION DRIVE
      RAEFORD, NC 28376
    • CAPE FEAR VALLEY MEDICAL CENTER
      1638 OWEN DRIVE P O BOX 2000
      FAYETTEVILLE, NC 28302
    • CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL
      501 SOUTH POPLAR STREET
      ELIZABETHTOWN, NC 28337
    • COLUMBUS REGIONAL HEALTHCARE SYSTEM
      500 JEFFERSON ST
      WHITEVILLE, NC 28472
  • LONG-TERM CARE HOSPITAL
    • HIGHSMITH RAINEY MEMORIAL HOSPITAL
      150 ROBESON STREET 4TH FLOOR
      FAYETTEVILLE, NC 28301

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