VICTOR M BRUGH (NPI# 1902884133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902884133 |
Entity Type | Individual |
Full Name | VICTOR M BRUGH |
Credential | MD |
Practice Address |
225 Clearfield Ave Virginia Beach VA 23462-1815 |
Practice Telephone | 7574575100 |
Practice Fax Number | 7579613934 |
Mailing Telephone | 7574575100 |
Mailing Fax Number | 7579613934 |
Enumeration Date | 2006-01-06 |
Last Update Date | 2018-03-23 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208800000X | Urology | 0101056141 | VA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | EVMS NC BC/BS | 066KM | 01 |
NC | EVMS NC MEDICAID | 89066KM | 01 |
VA | EVMS VA MEDICARE | 004770E81 | 01 |
EVMS ANTHEM BC/BS | 137412 | 01 | |
EVMS SENTARA/OPTIMA | 71246 | 01 | |
VA | ANTHEM BC BS | 465721 | 01 |
VA | SENTARA HEALTHCARE | 65653 | 01 |
VA | 007504624 | 05 | |
VA | ANTHEM HEALTHKEEPERS | 1902884133 | 01 |
VA | EVMS VA MEDICAID | 010077371 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093881377 | Victor Miller Brugh II | Family Medicine | 701 E Byrd St, Richmond, VA 23219 | 2006-11-28 |
Street Address |
225 CLEARFIELD AVE |
City | VIRGINIA BEACH |
State | VA |
Zip Code | 23462-1815 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174527113 | Bruce A Rosenfeld | Urology | 225 Clearfield Ave, Virginia Beach, VA 23462-1815 | 2005-06-08 |
1417574120 | Allison Zolina Matias | Physician Assistant | 225 Clearfield Ave, Virginia Beach, VA 23462-1815 | 2020-06-29 |
1508495920 | Timothy Herbert King | Student in an Organized Health Care Education/Training Program | 225 Clearfield Ave, Virginia Beach, VA 23462-1815 | 2020-04-07 |
1316576382 | Paul Walker Prillaman | Student in an Organized Health Care Education/Training Program | 225 Clearfield Ave, Virginia Beach, VA 23462-1815 | 2020-04-02 |
1831721406 | Katherine Jihye Song | Physician Assistant | 225 Clearfield Ave, Virginia Beach, VA 23462-1815 | 2020-02-11 |
1578106365 | Jennifer Wolfe Fox | Nurse Practitioner | 225 Clearfield Ave, Virginia Beach, VA 23462-1815 | 2019-10-24 |
1639723893 | Sarah E Anderson | Nurse Practitioner | 225 Clearfield Ave, Virginia Beach, VA 23462-1815 | 2019-07-26 |
1528611340 | Christopher Michael Hedrick | Nurse Practitioner | 225 Clearfield Ave, Virginia Beach, VA 23462-1815 | 2019-07-21 |
1245791540 | Jamie Alissa Giovanelli | Physician Assistant | 225 Clearfield Ave, Virginia Beach, VA 23462-1815 | 2019-03-28 |
1114487931 | Catherine Robey | Student in an Organized Health Care Education/Training Program | 225 Clearfield Ave, Virginia Beach, VA 23462-1815 | 2019-03-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912534082 | Cheyenne James | Counselor | 297 Independence Blvd., Virginia Beach, VA 23462 | 2020-03-26 |
1245871011 | Marathon Transportation Services LLC | Non-emergency Medical Transport (VAN) | 4505 Main Street, Apt 259, Virginia Beach, VA 23462 | 2019-10-03 |
1003475153 | Keyuri S Shah | Physical Therapist | 5701 Cleveland St, Ste 600, Virginia Beach, VA 23462 | 2019-06-12 |
1629561329 | Mary Katherine Pratt | Physician Assistant | 828 Healthy Way Ste 350, Virginia Beach, VA 23462 | 2018-06-07 |
1801387808 | Matrixx Healthcare LLC | Respite Care | 405 S Parliament Dr Ste 106, Virginia Beach, VA 23462 | 2018-05-24 |
1518471671 | Newtown Chiropractic Center Pllc | Clinic/Center | 5777 Princess Ann Road, Virginia Beach, VA 23462 | 2017-11-28 |
1528587995 | Gary Lee Alexander II | Counselor | 870 N Newtown Road, Virginia Beach, VA 23462 | 2017-09-16 |
1801328810 | Servitium Med Va, LLC | Durable Medical Equipment & Medical Supplies | 4445 Corporation Lane Suite 291, Virginia Beach, VA 23462 | 2017-03-29 |
1215476171 | Johnnie Walter Cox IIi | Emergency Medical Technician, Basic | 5163 Cleveland Street, Virginia Beach, VA 23462 | 2017-02-13 |
1225570179 | Holly Balsamo | Occupational Therapy Assistant | 5345 Marian Lane, Virginia Beach, VA 23462 | 2016-11-09 |
Find all providers in zip 23462 |
Taxonomy Code | 208800000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013146851 | William Vernon Tynes II | Urology | 2910 S Lynnhaven Road, Suite 170, Virginia Beach, VA 23452-8506 | 2009-07-14 |
1437266129 | Steven Scott Warden | Urology | 1004 1st Colonial Rd, Suite 101, Virginia Beach, VA 23454 | 2006-08-25 |
1174527113 | Bruce A Rosenfeld | Urology | 225 Clearfield Ave, Virginia Beach, VA 23462-1815 | 2005-06-08 |
1447513353 | Ilya J. Sobol | Urology | 225 Clearfield Ave, Virginia Beach, VA 23462 | 2012-06-18 |
1366732661 | Ramon Virasoro | Urology | 225 Clearfield Ave, Urology of Virginia, Virginia Beach, VA 23462-1815 | 2011-04-08 |
1295058394 | Michael Brandon Williams | Urology | 225 Clearfield Ave, Virginia Beach, VA 23462-1815 | 2010-03-04 |
1063747228 | Sentara Medical Group | Urology | 1925 Glenn Mitchell Dr, Suite 202, Virginia Beach, VA 23456-0170 | 2009-10-06 |
1205060902 | Joshua Langston | Urology | 225 Clearfield Ave, Virginia Beach, VA 23462-1815 | 2009-05-08 |
1538303185 | Sentara Medical Group | Urology | 800 Independence Blvd, Virginia Beach, VA 23455-6005 | 2009-04-27 |
1568605244 | Douglas Craig Kelly | Urology | 225 Clearfield Ave, Virginia Beach, VA 23462-1815 | 2009-04-11 |
Find all providers in VIRGINIA BEACH |
City | VIRGINIA BEACH |
Zip Code | 23462 |
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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.