CMS-1500 Box 24J / 33a • NPI
1437119997
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
2085R0001X (CMS 92)
Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Radiation Oncology
Box 32 Service Location & ZIP+4
516 S VAN BUREN RD, EDEN, NC, 27288-5019
✓ 9-Digit EDI 837 ZIP+4 (27288-5019)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1437119997 (MICHAEL L BRUIN, MD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1437119997 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | MICHAEL L BRUIN, MD |
| Plain-English Specialty | Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Radiation Oncology NUCC Code: 2085R0001X (N/A) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 516 S VAN BUREN RD, EDEN, NC, 27288-5019 |
| Practice Telephone / Fax | Tel: (336) 623-6862 |
| Administrative Mailing Address | 117 E KINGS HWY, EDEN, NC, 27288-5201 |
| Enumeration & Last Sync | Enumerated: 2006-03-27 | CMS Record Updated: 2024-03-12 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (2085R0001X)
What Does Taxonomy Code 2085R0001X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2085R0001X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Radiation Oncology"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (MICHAEL L BRUIN, MD)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207RX0202X — Internal Medicine, Medical OncologyPlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: IL | License: 036102870 | Primary: Secondary |
2081H0002X — Physical Medicine & Rehabilitation, Hospice and Palliative MedicinePlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Physical Medicine & Rehabilitation, Hospice and Palliative Medicine | State: MO | License: 2020024355 | Primary: Secondary |
2085R0001X — Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Radiation Oncology | State: IL | License: 036102870 | Primary: Secondary |
2085R0001X — Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Radiation Oncology | State: SC | License: 90760 | Primary: Secondary |
2085R0001X — Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Radiation Oncology | State: NC | License: 2021-02075 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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