BRUCE E JOHNSON (NPI# 1619076643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619076643 |
| Entity Type | Individual |
| Full Name | BRUCE E JOHNSON |
| Credential | MD |
| Practice Address |
1008 First Colonial Rd Suite 103 Virginia Beach VA 23454-3071 |
| Mailing Address |
Po Box 7068 Portsmouth VA 23707-0068 |
| Practice Telephone | 7574812515 |
| Practice Fax Number | 7574814064 |
| Mailing Telephone | 7576863508 |
| Mailing Fax Number | 7576860541 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2012-01-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
0101033614 | VA | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
0101033614 | VA | Allopathic & Osteopathic Physicians |
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
0101033614 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | BC/BS | 325089 | 01 |
| VA | 5819229 | 05 | |
| VA | CIGNA | 0601762003 | 01 |
| VA | CHAMPUS | V29930786 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902452329 | Bruce Johnson | Technician | 1720 R St Se, Washington, DC 20020-4763 | 2019-08-12 |
| 1215304738 | Bruce A. Johnson | Marriage & Family Therapist | 425 Coon Rapids Blvd., Coon Rapids, MN 55433 | 2015-09-01 |
| 1932398393 | Bruce David Johnson | Social Worker | 230 East Marydale, Suite 2, Soldotna, AK 99669-7648 | 2007-10-22 |
| 1447453097 | Bruce G Johnson | Anesthesiology | 800 E Cheves St Ste 480b, Florence, SC 29506-2650 | 2007-06-08 |
| 1366654899 | Bruce Gordon Johnson | Optometrist | 2610 South Douglas Highway, Suite 190, Gillette, WY 82718 | 2007-05-04 |
| 1104041813 | Bruce C. Johnson | Psychiatry & Neurology | 748 Se Fairwinds Loop, Vancouver, WA 98661-8087 | 2007-04-16 |
| 1114040011 | Bruce Hinton Johnson | Dentist | 7641 Shaffer Pkwy, Littleton, CO 80127-3013 | 2007-04-08 |
| 1013034933 | Bruce Lyman Johnson | Dentist | 716 Castle Heights Ct, Lebanon, TN 37087-2670 | 2007-03-24 |
| 1912043621 | Bruce Johnson | Internal Medicine | 800 W Biesterfield Road, Suite 4003, Elk Grove Village, IL 60007 | 2007-01-29 |
| 1366591687 | Bruce A Johnson | Dentist | 8 W Dry Creek Circle, Ste 200, Littleton, CO 80120 | 2007-01-09 |
| Street Address |
1008 FIRST COLONIAL RD SUITE 103 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23454-3071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386270643 | Coastal Prosthetics and Orthotics, LLC | Prosthetic/Orthotic Supplier | 1008 First Colonial Rd, Virginia Beach, VA 23454-3071 | 2020-03-19 |
| 1568627834 | Pulmonary Medicine of Virginia Beach, Inc. | Internal Medicine | 1008 First Colonial Rd, Suite 103, Virginia Beach, VA 23454-3071 | 2008-07-25 |
| 1679734610 | Derik M Falk | Internal Medicine | 1008 First Colonial Rd, Ste 103, Virginia Beach, VA 23454-3071 | 2008-06-23 |
| 1194912618 | Rana J Khan | Internal Medicine | 1008 First Colonial Rd, Virginia Beach, VA 23454-3071 | 2007-09-28 |
| 1134293699 | Neurological Consultants of Virginia Beach | Psychiatry & Neurology | 1008 First Colonial Rd, #101, Virginia Beach, VT 23454 | 2006-11-17 |
| 1669572608 | Vasantha S Hathwar | Internal Medicine | 1008 First Colonial Rd, Suite 103, Virginia Beach, VA 23454-3071 | 2006-09-22 |
| 1467552497 | Seth H Greenberg | Internal Medicine | 1008 First Colonial Rd, Suite 103, Virginia Beach, VA 23454-3071 | 2006-09-22 |
| 1124127147 | William R Cooper | Internal Medicine | 1008 First Colonial Rd, Suite 103, Virginia Beach, VA 23454-3071 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356994263 | Agape Consulting | Behavioral Analyst | 1216 Garth Court, Virginia Beach, VA 23454 | 2019-07-19 |
| 1831650266 | Amelia Jo Crutsinger | Physician Assistant | 1644 Kepler Bnd, Virginia Beach, VA 23454 | 2019-03-28 |
| 1538639158 | Bay Psychiatric II Inc | Counselor | 923 First Colonial Rd Suite 1821, Virginia Beach, VA 23454 | 2018-11-26 |
| 1487151759 | Akanksha Mohan | Student in an Organized Health Care Education/Training Program | 100 Mannng Drive, Chapel Hill, Nc 27514, Chapel Hill, NC 23454 | 2018-04-12 |
| 1275038580 | Food Lion, LLC | Durable Medical Equipment & Medical Supplies | 1615 General Booth Blvd, Virginia Beach, VA 23454 | 2018-03-28 |
| 1346783164 | Tracy Chasse | Occupational Therapy Assistant | 1628 Old Donation Parkway, Virginia Beach, VA 23454 | 2016-11-28 |
| 1982066627 | Jennifer Mitchell | Speech-Language Pathologist | 2101 Agecroft Rd., Virginia Beach, VA 23454 | 2016-03-22 |
| 1659730562 | Rebecca Houvener | Psychologist | 1120 First Colonial Rd Ste 202, Virginia Beach, VA 23454 | 2016-02-19 |
| 1932581741 | Monica Jane Bailey | Nurse Practitioner | 2110 N Great Neck Rd, Virginia Beach, VA 23454 | 2015-06-29 |
| 1376930073 | Ashley A Burkholder | Family Medicine | 1024 First Colonial Rd Ste 104, Virginia Beach, VA 23454 | 2015-04-20 |
| Find all providers in zip 23454 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285768465 | Virginia Medical Specialists, Plc | Internal Medicine | 1008 First Colonial Rd Ste 103, Virginia Beach, VA 23454-3071 | 2007-03-16 |
| 1245336510 | Pulmonary Physicians of Tidewater PC | Internal Medicine | 816 Independence Boulevard, Suite 2-b, Virginia Beach, VA 23455-6010 | 2006-09-15 |
| 1033125927 | Gregory J Wcisel | Internal Medicine | 1168 First Colonial Rd Ste 100, Virginia Beach, VA 23454-2444 | 2006-07-31 |
| 1164757498 | Edwin Cruz Md & Co. Inc. | Internal Medicine | 1712 Stone Church Mews, Virginia Beach, VA 23455-4374 | 2009-10-05 |
| 1568627834 | Pulmonary Medicine of Virginia Beach, Inc. | Internal Medicine | 1008 First Colonial Rd, Suite 103, Virginia Beach, VA 23454-3071 | 2008-07-25 |
| 1194912618 | Rana J Khan | Internal Medicine | 1008 First Colonial Rd, Virginia Beach, VA 23454-3071 | 2007-09-28 |
| 1104019389 | Sentara Medical Group | Internal Medicine | 5555 Greenwich Rd, Suite 501, Virginia Beach, VA 23462-6542 | 2007-08-22 |
| 1003937822 | Virginia Medical Specialist, Plc | Internal Medicine | 816 Independence Blvd, Ste 3c, Virginia Beach, VA 23455-6010 | 2007-04-02 |
| 1205942281 | Anil Nanubhai Patel | Internal Medicine | 816 Independence Blvd, Suite # 3c, Virginia Beach, VA 23455-6010 | 2006-08-22 |
| 1306856133 | Madhukar Kaloji | Internal Medicine | 700 Independence Cir Ste 3d, Virginia Beach, VA 23455-6405 | 2006-08-08 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23454 |
Please comment or provide details below to improve the information on BRUCE E JOHNSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.