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Contact Information

BRUCE K RUBIN, MD, MENGR, MBA
1000 E BROAD ST
RICHMOND, VA23219-1930
 Phone: 804-828-2467
 Fax: 804-828-9439
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Pulmonology

2080P0214X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for BRUCE K RUBIN · (Male)

NPI # 1235113317
Status Active
Credentials MD, MENGR, MBA
Entity Individual
Enumeration date 12/02/2005
Last updated 06/11/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NC License # 9701576
  • VA License # 0101246124
  • NC Medicaid 891093T
  • SC Medicaid Q0157C
  • VA Medicaid 6729738
  • WV Medicaid 220407000
  • Other 7556338 AETNA
  • Other 1093T BCBS
  • Other 76111 MEDCOST
  • Other 17762 PARTNERS
  • Other 370020986 RR MEDICARE
Hospital affiliation(s) Not Available
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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