BRUCE WALLS
NPI 1184019069
Technician - Attendant Care Provider in Roxie, MS

Q: What is Bruce Walls's NPI number?

The NPI number for Bruce Walls is 1184019069. It was assigned to this individual provider in the NPPES registry on March 30, 2015.

Q: What is Bruce Walls's specialty?

The primary specialty registered for this NPI is Technician, specializing in Attendant Care Provider, with taxonomy code 3747A0650X.

Q: When was this NPI record last updated?

The NPPES record for Bruce Walls was last updated on March 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 30, 2015

104 CRANFIELD RD, ROXIE, MS 39661(601) 660-0962 Get Directions Write a Review

NPPES record last updated: March 30, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Bruce Walls NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRUCE WALLS (NPI 1184019069) is an individual attendant care provider provider in Roxie, Mississippi and active in the NPI registry since March 2015.

NPPES Registry Identity

NPI1184019069

Entity TypeIndividualMale

Primary Taxonomy3747A0650X

Provider Legal NameBRUCE WALLS

Location Address104 CRANFIELD RDRoxie, MS 39661-9662

Mailing Address104 Cranfield RdRoxie, MS 39661-9662 · (601) 660-0962

Phone(601) 660-0962

Sole ProprietorYes

Enumeration DateMarch 30, 2015

✔ NPI 1184019069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Attendant Care ProviderNursing Service Related Providers

Taxonomy Code3747A0650X

Definition

An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.

104 CRANFIELD RD, Roxie, MS 39661

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bruce Walls's NPI number?

The NPI number for Bruce Walls is 1184019069. It was assigned to this individual provider in the NPPES registry on March 30, 2015.

Where is Bruce Walls located?

Bruce Walls practices at 104 Cranfield Rd, Roxie, MS 39661. The listed phone number is (601) 660-0962.

What is Bruce Walls's specialty?

The primary specialty registered for this NPI is Technician, specializing in Attendant Care Provider, with taxonomy code 3747A0650X.

When was this NPI record last updated?

The NPPES record for Bruce Walls was last updated on March 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.