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DR. BEAU BENJAMIN BRUCE M.D.
NPI 1235114547
Psychiatry & Neurology - Neurology in Atlanta, GA

Active since December 08, 2005PECOS Enrolled
1365B CLIFTON RD NE, SUITE B-3600, ATLANTA, GA 30322(404) 778-5360 Get Directions Write a Review

NPPES record last updated: July 8, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Beau Benjamin Bruce M.d. NPPES

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

DR. BEAU BENJAMIN BRUCE M.D. (NPI 1235114547) is an individual neurology provider in Atlanta, Georgia, licensed in Georgia (057783) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235114547
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. BEAU BENJAMIN BRUCECredential: M.D.
Location Address1365B CLIFTON RD NE, SUITE B-3600Atlanta, GA 30322-1013
Mailing Address1365b Clifton Rd Ne, Suite B-3600Atlanta, GA 30322-1013
Phone(404) 778-5360
Sole ProprietorNo
Enumeration DateDecember 8, 2005
Last NPPES UpdateJuly 8, 2008
✔ NPI 1235114547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in GA · 057783
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1365B CLIFTON RD NE, Atlanta, GA 30322
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Other Identifiers 1

Medicare UPIN13BDFCD

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Beau Benjamin Bruce M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30322 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. EMILY BEDRICK GRAUBART M.D.
Ophthalmology
1365B CLIFTON RD NE, SUITE B2400
ATLANTA, GA 30322
Dekalb County (404) 778-2020
DR. MICHAEL DATTILO M.D., PH.D.
Ophthalmology (Neuro-ophthalmology)
1365B CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 778-5360
NATALIE ANN TOWNSEND O.D.
Optometrist
1365B CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 778-2020
DR. EDWARD JOHN ATKINS M.D.
Psychiatry & Neurology (Neurology)
1365B CLIFTON RD NE, B4404
ATLANTA, GA 30322
Dekalb County (404) 778-5360
DR. GHAZALA AMIRALI DATOO O'KEEFE M.D.
Ophthalmology
1365B CLIFTON RD NE, SUITE 4400
ATLANTA, GA 30322
Dekalb County (404) 778-5163
LINDA PATRICIA KELLY M.D., FRCPC
Student in an Organized Health Care Education/Training Program
1365B CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 778-5360
DR. DIEM K BUI M.D.
Ophthalmology
1365B CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 778-2020
CAROLINE HILL CROMELIN M.D.
Ophthalmology
1365B CLIFTON RD NE, SUITE BT-401A
ATLANTA, GA 30322
Dekalb County (404) 778-4530

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 Beau Bruce's NPI number?

The NPI number for Beau Bruce is 1235114547. It was assigned to this individual provider in the NPPES registry on December 8, 2005.

Where is Beau Bruce located?

Beau Bruce practices at 1365B Clifton Rd NE Suite B-3600, Atlanta, GA 30322. The listed phone number is (404) 778-5360.

What is Beau Bruce's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Beau Bruce enrolled in Medicare?

Yes. Beau Bruce is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Beau Bruce was last updated on July 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.