National Provider Identifier Database

BRUCE W BOOTH, MD – NPI #1164427993
Hematology & Oncology

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.


Contact Information

BRUCE W BOOTH, MD
1051 LOFTIS BLVD
SUITE 100
NEWPORT NEWS, VA23606-3069
Phone: 757-873-9400
Fax: 757-873-9420
Website:
Specialty Taxonomy Code
* Hematology & Oncology 207RH0003X

* Indicates primary specialty

NPI Profile & details for BRUCE W BOOTH

NPI Number 1164427993
Credentials MD
Entity Individual
Enumeration date 06/17/2005
Last updated 09/22/2014 - About 12 years ago
Sole proprietor1 No
Identifiers
  • VA License #: 0101021044
  • VA Medicaid: 006068138
  • VA Other: 55199 OPTIMA
  • VA Other: 110054751 RAILROAD MEDICARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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