Eric L. Bumanglag, DNP
Individual provider Active NPI Acute Care Nurse Practitioner · Norfolk, VA
NPI 1013742741 · NPPES record last updated Sep 5, 2024
Key facts
- NPI
- 1013742741
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- 0024190571 (VA)
- Practice address
- 600 Gresham Dr
Norfolk, VA 23507-1904 - Phone
- (757) 388-6222
- NPI assigned
- Sep 3, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Evms Academic Physicians and Surgeons Health Services Foundation
Practice addresses (Care Compare)
600 Gresham Dr
Norfolk, VA 23507-1904
Phone (757) 668-3483
Hospital & facility affiliations
- Sentara Norfolk General Hospital
- Sentara Obici Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241209001092 | VA | Practitioner - Nurse Practitioner | 7719413160 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024190571 | VA | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evms Academic Physicians and Surgeons Health Services Foundation | Current |
Accepting new patients |
Locations
600 Gresham Dr
Norfolk, VA 23507
Phone (757) 473-0055
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 0024190571 | VA | Yes |
Addresses
Primary practice location
600 Gresham Dr
Norfolk, VA 23507-1904
Mailing address
PO Box 1980
Norfolk, VA 23501-1980
Phone (757) 388-6222
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- Aleksandra Bulaeva
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- Sarah Elizabeth Bumps
- Ashley N Bunch
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All providers in Norfolk, VA · Acute Care Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.