Bruce D Clemons (NPI# 1871536755, PAC ID# 0143204818) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1871536755 |
| PAC ID by PECOS | 0143204818 |
| Professional Enrollment ID | I20040618000044 |
| Full Name | Bruce D Clemons |
| Organization Legal Name | MARTHA JEFFERSON MEDICAL GROUP LLC |
| Address |
310 Old Ivy Way Suite 201 Charlottesville VA 22903-4896 |
| Phone Number | 4346544550 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF IOWA COLLEGE OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 5991889081 |
| Number of Group Practice Members | 163 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490077 | SENTARA MARTHA JEFFERSON HOSPITAL |
| 490009 | UNIVERSITY OF VIRGINIA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 310 Old Ivy Way, Suite 201, Charlottesville, VA 22903-4896 | 4346544550 | MARTHA JEFFERSON MEDICAL GROUP LLC |
| Organization Legal Name | MARTHA JEFFERSON MEDICAL GROUP LLC |
| Physicians | 167 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kara Lynn Jacobs | Nurse Practitioner | Martha Jefferson Medical Group LLC | 15 Pratts Run, Suite 104, Waynesboro, VA 22980-6606 |
| Aric Jordan Moran | Hospitalist | Martha Jefferson Medical Group LLC | 500 Martha Jefferson Dr, Charlottesville, VA 22911-4668 |
| Jennifer Graham Stancil | Nurse Practitioner | Martha Jefferson Medical Group LLC | 65 Brickyard Dr, Dillwyn, VA 23936-3361 |
| Shannon Mcdonnell Miller | Nurse Practitioner | Martha Jefferson Medical Group LLC | 29 Jefferson Ct, Zion Crossroads, VA 22942-9602 |
| Mary Whittemore | Family Medicine | Martha Jefferson Medical Group LLC | 416 Albemarle Sq, Charlottesville, VA 22901-7400 |
| Barrie Carveth | Nurse Practitioner | Martha Jefferson Medical Group LLC | 315 10th St Ne, Charlottesville, VA 22902-5316 |
| Michael Q Potter | Hand Surgery | Martha Jefferson Medical Group LLC | 595 Martha Jefferson Dr, Suite 180, Charlottesville, VA 22911-4669 |
| Stephen A Hoover | Hand Surgery | Martha Jefferson Medical Group LLC | 3263 Proffit Rd, Suite 203, Charlottesville, VA 22911-5639 |
| Blake R Garmon | Internal Medicine | Martha Jefferson Medical Group LLC | 435 Merchant Walk Sq, Suite 400, Charlottesville, VA 22902-6516 |
| Joseph Devon Lowdon | Internal Medicine | Martha Jefferson Medical Group LLC | 1011 E Jefferson St, Suite 202, Charlottesville, VA 22902-5354 |
| Street Address |
310 OLD IVY WAY SUITE 201 |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip | 22903-4896 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sharon L Meth | Internal Medicine | Martha Jefferson Medical Group LLC | 310 Old Ivy Way, Suite 201, Charlottesville, VA 22903-4896 |
| Lindsay D Friesen | Internal Medicine | Martha Jefferson Medical Group LLC | 310 Old Ivy Way, Suite 201, Charlottesville, VA 22903-4896 |
| Louisa J Hann | Family Medicine | Martha Jefferson Medical Group LLC | 310 Old Ivy Way, Suite 201, Charlottesville, VA 22903-4896 |
| William Tompkins Iii | Internal Medicine | Martha Jefferson Medical Group LLC | 310 Old Ivy Way, Suite 201, Charlottesville, VA 22903-4896 |
| Lorraine Taylor Rilko | Nurse Practitioner | Martha Jefferson Medical Group LLC | 310 Old Ivy Way, Suite 201, Charlottesville, VA 22903-4896 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hillary S Maitland | Hematology | University of Virginia Physicians Group | 1240 Lee St, Charlottesville, VA 22903 |
| Siobhan Statuta | Family Medicine | University of Virginia Physicians Group | Massie Rd Emmett St, Charlottesville, VA 22903 |
| Elizabeth H Mandell | Obstetrics/gynecology | 325 Four Leaf Lane, Suite 11 B, Charlottesville, VA 22903 | |
| Kimberly F Leake | Nurse Practitioner | University of Virginia Physicians Group | 1240 Lee St, Charlottesville, VA 22903 |
| Francine E Garrett-bakelman | Hematology | University of Virginia Physicians Group | 1240 Lee St, Charlottesville, VA 22903 |
| Louise M. Man | Medical Oncology | University of Virginia Physicians Group | 1240 Lee St, Charlottesville, VA 22903 |
| Nadine Aguilera | Pathology | University of Virginia Physicians Group | 1240 Lee St, Charlottesville, VA 22903 |
| Patrice K Rehm | Diagnostic Radiology | University of Virginia Physicians Group | 1240 Lee St, Charlottesville, VA 22903 |
| Michael E Devitt | Medical Oncology | University of Virginia Physicians Group | 1240 Lee St, Charlottesville, VA 22903 |
| Christine L Lau | Thoracic Surgery | University of Virginia Physicians Group | 1240 Lee St, Charlottesville, VA 22903 |
| Find all physicians in zip 22903 | |||
| City | CHARLOTTESVILLE |
| Zip Code | 22903 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | CHARLOTTESVILLE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Bruce D Clemons.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.