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NPI Code Detail

MEDICARE: MR. BRUCE IRA TIMINS MD

MEDICARE: MR. BRUCE IRA TIMINS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease PhysicianME36915FL
2207RC0000XCardiovascular Disease PhysicianMD2010-0552NM
3207R00000XInternal Medicine Physician0101263854VA

General Provider Information

NPI Number : 1851493951
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. BRUCE IRA TIMINS MD
Provider Business Mailing Address
First Line : 48 NEWMARKET SQ
Second Line :
City : NEWPORT NEWS
State : VA
Zip : 23605-2721
Country : US
Telephone Number : 757-825-8030
Fax Number : 757-847-9149
Provider Business Practice Location Address
First Line : 48 NEWMARKET SQ
Second Line :
City : NEWPORT NEWS
State : VA
Zip : 23605-2721
Country : US
Telephone Number : 757-825-8030
Fax Number : 757-847-9149
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2006
Last Update Date : 04/03/2025

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