Bruce D. Burtoff, MD
Individual provider Active NPI Specialist · Orange, VA
NPI 1508209362 · NPPES record last updated Apr 11, 2013
Key facts
- NPI
- 1508209362
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 0101030428 (VA)
- Practice address
- 108 Railroad Ave
Orange, VA 22960 - Phone
- (703) 519-8080
- Fax
- (703) 519-8084
- NPI assigned
- Apr 11, 2013
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101030428 | VA | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 0101030428 | VA | Yes |
Addresses
Primary practice location
108 Railroad Ave
Orange, VA 22960
Mailing address
108 Railroad Ave
Orange, VA 22960
Phone (703) 519-8080
Other providers in Orange, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.