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BRUCE KALMAN RUBIN MD MENGR MBA NPI 1235113317


NPI Information

NPI: 1235113317
Provider Name: BRUCE KALMAN RUBIN, MD MENGR MBA
Classification: Pediatrics - 2080P0214X
Entity Type: Individual

Specialization: Pediatric Pulmonology

PECOS Registration: Yes

Address:
1001 E MARSHALL ST BOX 980646
VCU DEPT OF PEDIATRICS
RICHMOND, VA
ZIP 23298
Phone: (804) 828-9602
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Bruce Kalman Rubin, MD MENGR MBA is a pediatric pulmonology pediatrics in Richmond, VA. The provider is a pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques. Bruce Kalman Rubin, MD MENGR MBA NPI is 1235113317. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1001 E MARSHALL ST BOX 980646
VCU DEPT OF PEDIATRICS
RICHMOND, VA
ZIP 23298-646
Phone: (804) 828-9602

The NPI 1235113317 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/2/2005 and was last updated on 7/21/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0214XPediatricsPediatric Pulmonology9701576NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11093TOTHERBCBS
276111OTHERMEDCOST
3370020986OTHERRR MEDICARE
417762OTHERPARTNERS
57556338OTHERAETNA
62246374AMEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINA
7Q0157CMEDICAIDSOUTH CAROLINA
8E84729MEDICARE UPIN
9891093TMEDICAIDNORTH CAROLINA
106729738MEDICAIDVIRGINIA
11220407000MEDICAIDWEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.