Dr. Bruce Michael Freedman
Foot & Ankle Surgery Primary Podiatric Medicine
6719 Governor Gc Peery Hwy Ste 1900
Richlands
, Virginia 24641-0349
Dr. Bruce Michael Freedman
Foot & Ankle Surgery Primary Podiatric Medicine
6719 Governor Gc Peery Hwy Ste 1900
Richlands
, Virginia 24641-0349
(276) 964-9633
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About
Features
Specialties
- Primary Podiatric Medicine
- Foot & Ankle Surgery
Languages spoken
- English
Location
First Address
- Dr. Bruce Michael Freedman
- Po Box 1304
- Richlands, VA
- Zip : 24641-1304
- Phone : (276) 964-9633
Second Address
- Dr. Bruce Michael Freedman
- 6719 Governor Gc Peery Hwy Ste 1900
- Richlands, VA
- Zip : 24641-0349
- Phone : (276) 964-9633
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213EP1101X | Primary Podiatric Medicine | 351 | VA |
| N | 213ES0103X | Foot & Ankle Surgery | 351 | VA |
National Provider Identifier
| NPI | 1245404524 |
|---|---|
| Provider Name | Dr. Bruce Michael Freedman |
| First Address | Richlands, VA 24641-1304 |
| Second Address | Richlands, VA 24641-0349 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/04/2008 |
| Last Update Date | 22/04/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| T21428 | (02) | VA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.