| Dr Andrew Michael Bruton, MD | |
|
77 Nealy Avenue, 633d Medical Group, Joint Base Langley-eustis, VA 23665-2040 | |
| (757) 764-6800 | |
| Not Available |
| Full Name | Dr Andrew Michael Bruton |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 77 Nealy Avenue, Joint Base Langley-eustis, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487882536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 4301094539 (Michigan) | Primary |
| Entity Name | Gastonia Physician Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316367691 PECOS PAC ID: 3870719602 Enrollment ID: O20140730002523 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Andrew Michael Bruton, MD 77 Nealy Avenue, 633d Medical Group, Joint Base Langley-eustis, VA 23665-2040 Ph: (757) 764-6800 | Dr Andrew Michael Bruton, MD 77 Nealy Avenue, 633d Medical Group, Joint Base Langley-eustis, VA 23665-2040 Ph: (757) 764-6800 |
William E Brooks, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 77 Nealy Avenue, 633d Medical Group, Joint Base Langley-eustis, VA 23665 Phone: 757-764-6800 | |
Jesse Nichols, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 633d Medical Group/sghc, 77 Nealy Ave, Joint Base Langley-eustis, VA 23665 Phone: 757-764-6800 |