Individual provider Active NPI

Bruce L Flax, M.D.

  • Radiation Oncology Physician
  • Winchester, VA
National Provider Identifier
1366462640
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
0101045858 Issued in VA
Practice address
400 Campus Blvd.
Suite 110
Winchester, VA 22601
Phone
(540) 662-1108
Fax
(540) 722-2635
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 0101045858 VA Primary

Addresses

Primary practice location

400 Campus Blvd.
Suite 110
Winchester, VA 22601

Mailing address

400 Campus Blvd.
Suite 110
Winchester, VA 22601
Phone (540) 662-1108

Other identifiers 2

IdentifierTypeStateIssuer
7221690MedicaidVA
7221690MedicaidWV

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110628000284 VA Practitioner - Radiation Oncology 3375721020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Georgetown University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shenandoah Oncology PCGroup PAC ID 5698924843, 23 clinicians

Practice addresses (Care Compare)

400 Campus Blvd
Suite 100
Winchester, VA 22601-6906
Phone (540) 662-1108

Hospital & facility affiliations

  • Winchester Medical Center Hospital, Winchester, VA, CCN 490005
  • Warren Memorial Hospital Hospital, Front Royal, VA, CCN 490033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101045858VAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Radiation Oncology Radiation Oncology Current Accepting new patients
Shenandoah Oncology, PC Radiation Oncology CurrentSince Jun 1, 2014 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1870 Amherst St
#B
Winchester, VA 22601
Phone (540) 536-8912

400 Campus Blvd
Ste 100
Winchester, VA 22601
Phone (540) 662-1108

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

1870 Amherst St
Winchester, VA 22601
Phone (540) 536-0110

400 Campus Blvd
Ste 110
Winchester, VA 22601
Phone (540) 662-1108

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1366462640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CAMPUS BLVD.",
            "address_2": "SUITE 110",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "22601",
            "telephone_number": "540-662-1108",
            "fax_number": "540-450-2787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CAMPUS BLVD.",
            "address_2": "SUITE 110",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "22601",
            "telephone_number": "540-662-1108",
            "fax_number": "540-722-2635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLAX",
        "first_name": "BRUCE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "VA",
            "license": "0101045858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7221690",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7221690",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.