BRUCE H WELLMON DPM PA — NPI 1780677682 (Licensed & Credentialed Podiatric Medicine & Surgery Service Providers

CMS-1500 Box 24J / 33a • NPI

1780677682

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

213E00000X (CMS 48)

Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist

Box 32 Service Location & ZIP+4

101 PROFESSIONAL PARK, GAFFNEY, SC, 29340-2319

✓ 9-Digit EDI 837 ZIP+4 (29340-2319)

Practice Phone & Referral Fax

(864) 487-5516

Fax: (864) 487-3477

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1780677682 (BRUCE H WELLMON DPM PA) 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

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1780677682` (NPI-2 Organization / Facility)
Provider / Legal Name	BRUCE H WELLMON DPM PA
Plain-English Specialty	Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist NUCC Code: `213E00000X` (Podiatrist)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	101 PROFESSIONAL PARK, GAFFNEY, SC, 29340-2319
Practice Telephone / Fax	Tel: (864) 487-5516 \| Fax: (864) 487-3477
Administrative Mailing Address	PO BOX 1436, GAFFNEY, SC, 29342-1436
Enumeration & Last Sync	Enumerated: 2005-08-25 \| CMS Record Updated: 2022-08-29
Authorized Official	BRUCE WELLMON (DPM)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

101 PROFESSIONAL PARK, GAFFNEY, SC, 29340-2319

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Plain-English Taxonomy & CMS Crosswalk (213E00000X)

What Does Taxonomy Code 213E00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 213E00000X translates to:
"Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 48 (Podiatry)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Podiatrist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (BRUCE H WELLMON DPM PA)

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

Common Therapeutic Classes:

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
`213E00000X` — Podiatrist Plain English: Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist	State: NC \| License: `216` \| Primary: Secondary
`213E00000X` — Podiatrist Plain English: Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist	State: SC \| License: `86` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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BRUCE H WELLMON DPM PA (NPI #1780677682)