Bruce S Zimmer, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

0101035467 Issued in VA

Practice address

6355 Walker LN
Suite 202
Alexandria, VA 22310-3257

Phone

(703) 810-5210

Fax

(703) 810-5418

NPI assigned

Jul 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435536000000",
    "number": "1669486486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 75420",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212755420",
            "telephone_number": "703-383-6469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6355 WALKER LN",
            "address_2": "SUITE 202",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223103257",
            "telephone_number": "703-810-5210",
            "fax_number": "703-810-5418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMER",
        "first_name": "BRUCE",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2015-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0101035467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6409652",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andi Zhu
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• Sadaf Zia, PHARMD
• Kathryn Ziemer, PHD
• Donna Sue Zientek
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• Valeria H Zincke, MD
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• Brigitte White Zivkovic, D.M.D.
• Mandana Ghasemzadeh Zolghadr, D.D.S

• Orthopaedic Surgery Physician in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Orthopaedic Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.