Provider Demographics
NPI:1497737365
Name:SCHROEDER, BRUCE F (MD)
Entity Type:Individual
Prefix:
First Name:BRUCE
Middle Name:F
Last Name:SCHROEDER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:990 JOHNS HOPKINS DR
Mailing Address - Street 2:CAROLINA BREAST IMAGING SPECIALISTS, PLLC
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-7224
Mailing Address - Country:US
Mailing Address - Phone:252-565-8951
Mailing Address - Fax:252-565-8958
Practice Address - Street 1:990 JOHNS HOPKINS DR
Practice Address - Street 2:CAROLINA BREAST IMAGING SPECIALISTS, PLLC
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-7224
Practice Address - Country:US
Practice Address - Phone:252-565-8951
Practice Address - Fax:252-565-8958
Is Sole Proprietor?:No
Enumeration Date:2005-11-16
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC96010602085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7490AOtherBCBSNC
NC897490AMedicaid
NCG28805Medicare UPIN
NC7490AOtherBCBSNC
NC897490AMedicaid