Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 0101031852 | VA |
NPI | 1295777191 |
---|---|
Provider Name | Dr. Bruce G Bateman |
First Address | Charlottesville, VA 22911-4627 |
Second Address | Charlottesville, VA 22911-4669 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2006 |
Last Update Date | 06/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
010198437 | (05) | VA |
10000202 | (05) | VA |
10000202 | COMMUNITY HEALTH (01) | VA |
1455099 | CIGNA (01) | VA |
183487 | (05) | VA |
183487 | ANTHEM SVCS/HEALTHKEEPERS (01) | VA |
2136403 | MAMSI (01) | VA |
317105 | SOUTHERN HEALTH (01) | VA |
B08140 | (02) |