Bruce W Booth, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

0101021044 Issued in VA

Practice address

1051 Loftis Blvd
Suite 100
Newport News, VA 23606-3069

Phone

(757) 873-9400

Fax

(757) 873-9420

NPI assigned

Jun 17, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bruce.booth@voa.ikm.direct-ci.com

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.

• Virginia Oncology Associates

  • Hematology & Oncology Physician
  • Norfolk, VA
  • NPI 1417929639
  NPD
• Virginia Oncology Associates

  • Community/Retail Pharmacy
  • Suffolk, VA
  • NPI 1932906815
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411344000000",
    "number": "1164427993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 LAKE WRIGHT DR",
            "address_2": "SUITE 300",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235021871",
            "telephone_number": "757-213-5700",
            "fax_number": "757-213-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 LOFTIS BLVD",
            "address_2": "SUITE 100",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236063069",
            "telephone_number": "757-873-9400",
            "fax_number": "757-873-9420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOTH",
        "first_name": "BRUCE",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2014-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "VA",
            "license": "0101021044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA",
            "identifier": "55199",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006068138",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110054751",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bon Secours-St. Mary'S Hospital of Richmond, Inc.
• Josephine Nada Bondje, DNP
• John Bonner, RRT
• Beverly Elizabeth Boon, D.C.
• Candice Sheantae Boone, LPN
• Cassianne Summerlin Booth, PH.D.
• Lindsay Elizabeth Borden, M.D.
• Mary Margaret Borer, M.D.
• Gabrielle Jacenea Louise Bosch
• Taylor Boseman

• Hematology & Oncology Physician in Newport News, VA
• Providers in Newport News, VA by specialty
• Hematology & Oncology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.