Provider Demographics
NPI:1144757832
Name:BRUCE, ALEX (PMHNP)
Entity type:Individual
Prefix:MR
First Name:ALEX
Middle Name:
Last Name:BRUCE
Suffix:
Gender:M
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1935 AL HWY 157
Mailing Address - Street 2:STE B
Mailing Address - City:CULLMAN
Mailing Address - State:AL
Mailing Address - Zip Code:35058-1862
Mailing Address - Country:US
Mailing Address - Phone:256-590-7259
Mailing Address - Fax:
Practice Address - Street 1:1935 AL HWY 157
Practice Address - Street 2:STE B
Practice Address - City:CULLMAN
Practice Address - State:AL
Practice Address - Zip Code:35058-1862
Practice Address - Country:US
Practice Address - Phone:256-590-7259
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-12
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-147487163WC0200X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine