Bruce Freedman DPM PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

351 Issued in VA

Legal business name

BRUCE FREEDMAN DPM PC

Practice address

6719 Governor GC Peery Hwy
Ste 1900
Richlands, VA 24641-0349

Phone

(276) 964-9633

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Bruce Michael Freedman, DPMNPI 1245404524

Title

President

Phone

(276) 964-9633

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bruce Michael Freedman, DPM

  • Primary Podiatric Medicine Podiatrist
  • Richlands, VA
  • NPI 1245404524
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398211200000",
    "number": "1730190455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 1304",
            "city": "RICHLANDS",
            "state": "VA",
            "postal_code": "24641",
            "telephone_number": "276-964-9633",
            "fax_number": "276-964-9633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6719 GOVERNOR GC PEERY HWY",
            "address_2": "STE 1900",
            "city": "RICHLANDS",
            "state": "VA",
            "postal_code": "246410349",
            "telephone_number": "276-964-9633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE FREEDMAN DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2014-04-23",
        "status": "A",
        "authorized_official_last_name": "FREEDMAN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "276-964-9633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "VA",
            "license": "351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Blankenship, FNP-BC
• Madison Danielle Bohnert
• Karen Lynn Bradley Jackson, LPC
• Mary Madison Brewer, PA-C
• Deborah Tisdale Brewster, MSCCCSLP
• Marcus Brandon Buskill, DDS
• Shannon C Carroll
• Kevin Patrick Carter, AU.D.
• Carters Hearing Center, LLC
• Muna Faisal Chaudhry, M.D.

• Podiatrist in Richlands, VA
• Providers in Richlands, VA by specialty
• Podiatrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.