Organization Active NPI

Bruce Mayer, MD PC

Doing business as bruce mayer md

  • Family Medicine Physician
  • Williamsburg, VA
National Provider Identifier
1982620357
Registry record updated Feb 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101046065 Issued in VA
Legal business name
BRUCE MAYER, MD PC
Doing business as
bruce mayer md
Practice address
7151 Richmond Rd Ste 403
Williamsburg, VA 23188-7234
Phone
(757) 566-2045
Fax
(757) 741-2735
NPI assigned
Jul 15, 2006
Last updated
Feb 5, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2020

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

Authorized official

Name
Dr. Bruce Matthew Mayer, MDNPI 1104806173
Title
MD
Phone
(757) 566-2045

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101046065 VA Primary

Addresses

Primary practice location

7151 Richmond Rd Ste 403
Williamsburg, VA 23188-7234

Mailing address

7151 Richmond Rd Ste 403
Williamsburg, VA 23188-7234
Phone (757) 566-2045

Other names 1

  • bruce mayer md Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060821000339 VA Part B Supplier - Clinic/Group Practice 5193728756 Receives reassigned benefits from 2 practitioners
Practice locations: Williamsburg, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D1049627Bruce Mayer, MD, PC7151 Richmond Rd, Suite 403, Williamsburg, VA 23188Certificate of waiverJan 11, 2028

National Provider Directory

National Provider Directory

Locations

7151 Richmond Rd
Ste 403
Williamsburg, VA 23188
Phone (757) 565-5440

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580860800000",
    "number": "1982620357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7151 RICHMOND RD STE 403",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231887234",
            "telephone_number": "757-566-2045",
            "fax_number": "757-741-2735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7151 RICHMOND RD STE 403",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231887234",
            "telephone_number": "757-566-2045",
            "fax_number": "757-741-2735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE MAYER, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A",
        "authorized_official_last_name": "MAYER",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "757-566-2045",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101046065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "bruce mayer md",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Williamsburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.