| Bruce Mayer Md | |
|
7151 Richmond Rd Ste 403 Williamsburg VA 23188-7234 | |
| (757) 566-2045 | |
| (757) 741-2735 |
| Full Name | Bruce Mayer Md |
|---|---|
| Speciality | Family Medicine |
| Location | 7151 Richmond Rd Ste 403, Williamsburg, Virginia |
| Authorized Official Name and Position | Bruce Matthew Mayer (MD) |
| Authorized Official Contact | 7575662045 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce Mayer Md 7151 Richmond Rd Ste 403 Williamsburg VA 23188-7234 Ph: (757) 566-2045 | Bruce Mayer Md 7151 Richmond Rd Ste 403 Williamsburg VA 23188-7234 Ph: (757) 566-2045 |
| NPI Number | 1982620357 |
|---|---|
| Provider Enumeration Date | 07/15/2006 |
| Last Update Date | 02/05/2020 |
| Medicare PECOS PAC ID | 5193728756 |
|---|---|
| Medicare Enrollment ID | O20060821000339 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982620357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101046065 (Virginia) | Primary |
| Provider Name | Bruce M Mayer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104806173 PECOS PAC ID: 2961429410 Enrollment ID: I20051025000301 |
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