Active NPI
Bruce R Selman, MD
- Specialist
- Richmond, VA
National Provider Identifier
1467440248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 0101248415
- Practice address
- 5875 Bremo Rd
Suite 400
Richmond, VA 23226-1934 - Phone
- (804) 288-4084
- Fax
- (804) 282-8678
- NPI assigned
- Oct 6, 2005
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 0101248415 | VA | Primary |
Addresses
Primary practice location
5875 Bremo Rd
Suite 400
Richmond, VA 23226-1934
Mailing address
7130 Glen Forest Dr
Suite 101
Richmond, VA 23226-3754
Phone (804) 282-1095
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467440248 | 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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101248415 | VA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Duluth Clinic, LTD | Past | 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.
-
- Multi-Specialty Clinic/Center
- Ashland, WI
- NPI 1215974357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300838400000",
"number": "1467440248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7130 GLEN FOREST DR",
"address_2": "SUITE 101",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232263754",
"telephone_number": "804-282-1095",
"fax_number": "804-282-8678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5875 BREMO RD",
"address_2": "SUITE 400",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232261934",
"telephone_number": "804-288-4084",
"fax_number": "804-282-8678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELMAN",
"first_name": "BRUCE",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-06",
"last_updated": "2011-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "VA",
"license": "0101248415",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1467440248",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.