Active NPI
Bruce Ira Vogel, DPM
- Podiatrist
- Manassas, VA
National Provider Identifier
1295700144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 0103000297
- Practice address
- 8577 Sudley Rd
Manassas, VA 20110-3860 - Phone
- (703) 368-7166
- Fax
- (703) 368-5103
- NPI assigned
- Feb 22, 2006
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 0103000297 | VA | Primary |
Addresses
Primary practice location
8577 Sudley Rd
Manassas, VA 20110-3860
Mailing address
8577 Sudley Rd
Manassas, VA 20110-3860
Phone (703) 368-7166
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35564 | Other | UNITED HEALTH CARE | |
| A8890003 | Other | CAREFIRST BCBS | |
| 010300297 | Other | UNITED HEALTHCARE | |
| 35564 | Other | MAMSI | |
| 480000291 | Other | MEDICARE TRAILBLAZERS | |
| CC5940 | Other | VA | RAILROAD MEDICARE GROUP |
| 4800113111 | Other | RAILROAD MEDICARE | |
| 0442570002 | Other | DMERC | |
| 543846 | Other | AETNA | |
| 090283 | Other | ANTHEM BCBS | |
| 9331476 | Medicaid | VA |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foot and Ankle Specialists of the Mid-Atlantic, LLC | Podiatrist | Current | Accepting new patients |
Locations
11737 Bowman Green Dr
Reston, VA 20190
Phone (703) 437-6333
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.
-
- Podiatrist
- Reston, VA
- NPI 1609933076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257120000000",
"number": "1295700144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8577 SUDLEY RD",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201103860",
"telephone_number": "703-368-7166",
"fax_number": "703-368-5103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8577 SUDLEY RD",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201103860",
"telephone_number": "703-368-7166",
"fax_number": "703-368-5103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOGEL",
"first_name": "BRUCE",
"middle_name": "IRA",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-22",
"last_updated": "2009-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "VA",
"license": "0103000297",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "35564",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS",
"identifier": "A8890003",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "010300297",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "35564",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE TRAILBLAZERS",
"identifier": "480000291",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE GROUP",
"identifier": "CC5940",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "4800113111",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC",
"identifier": "0442570002",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "543846",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "090283",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9331476",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manassas, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.