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BRUCE HAMBY
NPI 1295318376
Physician Assistant in Clarkston, MI

Active since May 05, 2021Opted out of Medicare · through Apr 1, 2027
5715 BELLA ROSA BLVD STE 200, CLARKSTON, MI 48348(248) 922-4900 Get Directions Write a Review

NPPES record last updated: May 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bruce Hamby NPPES

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

BRUCE HAMBY (NPI 1295318376) is an individual physician assistant in Clarkston, Michigan, licensed in Michigan (5601010393) and active in the NPI registry since May 2021. He has opted out of Medicare through April 1, 2027.

NPPES Registry Identity

NPI1295318376
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBRUCE HAMBY
Location Address5715 BELLA ROSA BLVD STE 200Clarkston, MI 48348-4776
Mailing Address5715 Bella Rosa Blvd Ste 200Clarkston, MI 48348-4776
Phone(248) 922-4900
Sole ProprietorYes
Enumeration DateMay 5, 2021
NPPES CertifiedMay 5, 2021
✔ NPI 1295318376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601010393
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
5715 BELLA ROSA BLVD STE 200, Clarkston, MI 48348
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Bruce Hamby has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2023 through April 1, 2027.

Opt-Out Effective DateApril 1, 2023
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

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

ALAN BURNHAM PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
5715 BELLA ROSA BLVD STE 200
CLARKSTON, MI 48348
Oakland County (734) 771-5996
ASHLEY MASON PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
5715 BELLA ROSA BLVD STE 200
CLARKSTON, MI 48348
Oakland County (734) 600-7873

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 Hamby's NPI number?

The NPI number for Bruce Hamby is 1295318376. It was assigned to this individual provider in the NPPES registry on May 5, 2021.

Where is Bruce Hamby located?

Bruce Hamby practices at 5715 Bella Rosa Blvd Ste 200, Clarkston, MI 48348. The listed phone number is (248) 922-4900.

What is Bruce Hamby's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Bruce Hamby enrolled in Medicare?

No. Bruce Hamby has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Bruce Hamby was last updated on May 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.