Active NPI
Bruce Johnson
- Nursing Home Administrator
- New Kent, VA
National Provider Identifier
1114717733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Home Administrator
- Practice address
- 7493 E Danube Loop
New Kent, VA 23124-2636 - Phone
- (804) 943-8735
- Fax
- (804) 932-0010
- NPI assigned
- May 7, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Home Administrator | 376G00000X | Primary |
Addresses
Primary practice location
7493 E Danube Loop
New Kent, VA 23124-2636
Mailing address
7493 E Danube Loop
New Kent, VA 23124-2636
Phone (804) 943-8735
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bright Light Heath Solutions | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Aide
- North Chesterfield, VA
- NPI 1497610729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747008000000",
"number": "1114717733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7493 E DANUBE LOOP",
"city": "NEW KENT",
"state": "VA",
"postal_code": "231242636",
"telephone_number": "804-943-8735",
"fax_number": "804-932-0010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7493 E DANUBE LOOP",
"city": "NEW KENT",
"state": "VA",
"postal_code": "231242636",
"telephone_number": "804-943-8735",
"fax_number": "804-932-0010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "BRUCE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-05-07",
"last_updated": "2025-05-12",
"certification_date": "2025-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "376G00000X",
"taxonomy_group": "",
"desc": "Nursing Home Administrator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Kent, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.