Active NPI
Bruce Carter Higinbothom, M.D.
- Family Medicine Physician
- Abingdon, VA
National Provider Identifier
1336181593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101054741
- Practice address
- 445 Porterfield Hwy
Suite a
Abingdon, VA 24210 - Phone
- (276) 628-3144
- Fax
- (276) 628-1571
- NPI assigned
- Jun 12, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
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.
-
- Rural Health Clinic/Center
- Abingdon, VA
- NPI 1710067566
-
- General Acute Care Hospital
- Abingdon, VA
- NPI 1104812684
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Abingdon, VA
- NPI 1225096886
-
- Community Based Hospice Care Agency
- Richlands, VA
- NPI 1629025911
Hospice
-
- General Acute Care Hospital
- Johnson City, TN
- NPI 1972606465
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Wake Forest University School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Abingdon Family Healthcare Inc
Practice addresses (Care Compare)
445 Porterfield Hwy SW
Suite a
Abingdon, VA 24210-2583
Phone (276) 628-3144
445 Porterfield Swhwy a
Abingdon, VA 24210
Hospital & facility affiliations
- Amedisys Home Health Care
- Medical Services of America Home Health & Hospice
- Russell County Hospital
- Johnston Memorial Hospital
- Wellmont Bristol Regional Medical Center
- Johnson City Medical Center
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100928001277 | VA | Practitioner - Family Practice | 3173649035 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101054741 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johnston Memorial Hospital, Inc | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101054741 | VA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
445 Porterfield Hwy
Suite a
Abingdon, VA 24210
Mailing address
445 Porterfield Hwy
Suite a
Abingdon, VA 24210
Phone (276) 628-3144
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005605008 | Medicaid | VA | |
| 007610432 | Medicaid | VA |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 12, 2008.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218499200000",
"number": "1336181593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "445 PORTERFIELD HWY",
"address_2": "SUITE A",
"city": "ABINGDON",
"state": "VA",
"postal_code": "24210",
"telephone_number": "276-628-3144",
"fax_number": "276-628-1571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 PORTERFIELD HWY",
"address_2": "SUITE A",
"city": "ABINGDON",
"state": "VA",
"postal_code": "24210",
"telephone_number": "276-628-3144",
"fax_number": "276-628-1571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIGINBOTHOM",
"first_name": "BRUCE",
"middle_name": "CARTER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2008-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101054741",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005605008",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007610432",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Abingdon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.