| NPI | 1033503164 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2015-03-26 |
| Last Updated | 2026-03-22 |
| Mailing Address | 1072 Xray Dr, Ste B Gastonia, NC 28054 United States Phone: (704) 671-1094 | Fax: (704) 671-1095 📍 View Map |
| Primary Practice Address | 309 S Sharon Amity Rd Ste 200 Charlotte, NC 28211-2886 United States Phone: (704) 344-8846 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 207ZD0900X – Pathology, Dermatopathology | NC | 2020-01159 |
| No | 207N00000X – Dermatology | VA | 0101267259 |
| Yes | 207N00000X – Dermatology | NC | 2020-01159 |
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About NPI 1033503164
Sam Bruce Wu MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1033503164. The primary specialty listed is Dermatology. The provider is located in Charlotte, NC. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2015-03-26. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1033503164?
NPI 1033503164 belongs to Sam Bruce Wu MD, a Dermatology in Charlotte, NC. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1033503164 active?
The current status of NPI 1033503164 in the NPPES registry is Active. The record was last updated on 2026-03-22.
What specialty is NPI 1033503164?
NPI 1033503164 is classified under the taxonomy Dermatology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1033503164?
You can verify NPI 1033503164 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1033503164?
The primary practice address on file for NPI 1033503164 is 309 S Sharon Amity Rd Ste 200, Charlotte, NC 28211-2886. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1033503164 issued?
NPI 1033503164 was first issued (enumerated) on 2015-03-26. The NPPES record was last updated on 2026-03-22.
Practice Location Map
Sam Bruce Wu is located at 309 S Sharon Amity Rd Ste 200, Charlotte, NC. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Sam Bruce Wu. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1033503164. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pathology, Dermatopathology | 2020-01159 | NC |
| Dermatology | 0101267259 | VA |
| Dermatology | 2020-01159 | NC |