Individual provider Active NPI

Bruce Maynard Bradfield, MD

  • Family Medicine Physician
  • Newport News, VA
National Provider Identifier
1629046214
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101044659 Issued in VA
Practice address
158 Carnegie Dr
Newport News, VA 23606-2613
Phone
(757) 272-2609
NPI assigned
Mar 9, 2006
Last updated
May 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101044659 VA Primary

Addresses

Primary practice location

158 Carnegie Dr
Newport News, VA 23606-2613

Mailing address

158 Carnegie Dr
Newport News, VA 23606-2613
Phone (757) 272-2609

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
I20050222000155 VA Practitioner - Family Practice 3577516392 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101044659VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PMR Virginia Holding, LLC CurrentSince Apr 1, 2021 Accepting new patients
Augusta Medical Group CurrentSince Nov 12, 2012 Accepting new patients
Blue Ridge Health Center Inc CurrentSince Apr 29, 2025 Accepting new patients
Blue Ridge Health Center Inc CurrentSince Apr 29, 2025 Accepting new patients
Carilion Healthcare Corporation Past Accepting new patients
Complete Healthcare, LLC Family Medicine Past Accepting new patients

Locations

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

4038 Thomas Nelson Hwy
Arrington, VA 22922
Phone (434) 263-4000

524 Southpark Blvd
Colonial Hgts, VA 23834
Phone (804) 504-7980

53 S Medical Park Dr
Fishersville, VA 22939
Phone (540) 332-5687

48 Newmarket Sq
Newport News, VA 23605
Phone (757) 825-8030

3806 Mechanicsville Tpke
Richmond, VA 23223
Phone (804) 228-1143

2927 Stuarts Draft Hwy
Ste 101
Stuarts Draft, VA 24477
Phone (540) 213-8760

5516 Virginia Beach Blvd
Virginia Beach, VA 23462
Phone (757) 287-3699

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14718/brand/4/csg/1/fhir/r4

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1629046214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 CARNEGIE DR",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236062613",
            "telephone_number": "757-272-2609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 CARNEGIE DR",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236062613",
            "telephone_number": "757-272-2609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADFIELD",
        "first_name": "BRUCE",
        "middle_name": "MAYNARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101044659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.