Individual provider Active NPI

Bruce Ira Timins, MD

  • Internal Medicine Physician
  • Newport News, VA
National Provider Identifier
1851493951
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101263854 Issued in VA
Practice address
48 Newmarket SQ
Newport News, VA 23605-2721
Phone
(757) 825-8030
Fax
(757) 847-9149
NPI assigned
Sep 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME36915 FL
Cardiovascular Disease Physician 207RC0000X MD2010-0552 NM
Internal Medicine Physician 207R00000X 0101263854 VA Primary

Addresses

Primary practice location

48 Newmarket SQ
Newport News, VA 23605-2721

Mailing address

48 Newmarket SQ
Newport News, VA 23605-2721
Phone (757) 825-8030

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
I20250415003555 VA Practitioner - Cardiovascular Disease (Cardiology) 5799730834 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101263854VAMDInternal Medicine Physician
MD2010-0552NMMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PMR Virginia Holding, LLC CurrentSince Apr 1, 2025 Accepting new patients
Familycare Associates,PA Past Accepting new patients
Bruce I Timins MD PA Cardiovascular Disease PastSince Oct 1, 2001 Accepting new patients
Jencare Neighborhood Medical East Richmond, LLC Internal Medicine PastSince Sep 4, 2012 Accepting new patients

Locations

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

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

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

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1851493951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 NEWMARKET SQ",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236052721",
            "telephone_number": "757-825-8030",
            "fax_number": "757-847-9149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 NEWMARKET SQ",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236052721",
            "telephone_number": "757-825-8030",
            "fax_number": "757-847-9149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMINS",
        "first_name": "BRUCE",
        "middle_name": "IRA",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME36915",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NM",
            "license": "MD2010-0552",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101263854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.