| Bruce J Kleiman Md Pc | |
|
208 E. Plume Street Suite 213 Norfolk VA 23510 | |
| (757) 685-6151 | |
| (757) 961-8385 |
| Full Name | Bruce J Kleiman Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 208 E. Plume Street, Norfolk, Virginia |
| Authorized Official Name and Position | Bruce J Kleiman (PRESIDENT) |
| Authorized Official Contact | 7576856157 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce J Kleiman Md Pc 208 E. Plume Street Suite 213 Norfolk VA 23510 Ph: (757) 685-6151 | Bruce J Kleiman Md Pc 208 E. Plume Street Suite 213 Norfolk VA 23510 Ph: (757) 685-6151 |
| NPI Number | 1043524333 |
|---|---|
| Provider Enumeration Date | 07/29/2010 |
| Last Update Date | 02/19/2014 |
| Medicare PECOS PAC ID | 5799970075 |
|---|---|
| Medicare Enrollment ID | O20101111001469 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043524333 | NPI | - | NPPES |
| 1780646935 | Other | VA | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101239530 (Virginia) | Primary |
| Provider Name | Bruce J Kleiman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780646935 PECOS PAC ID: 6507877347 Enrollment ID: I20060509000150 |
| Provider Name | Valencia R Belle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104832963 PECOS PAC ID: 2466537170 Enrollment ID: I20080305000340 |
| Provider Name | Deborah O Jennings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831423797 PECOS PAC ID: 5890989628 Enrollment ID: I20101104001627 |
| Provider Name | Sean M Kuczma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538457221 PECOS PAC ID: 1153643887 Enrollment ID: I20141208000133 |
| Provider Name | Julie Neefe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053739177 PECOS PAC ID: 8022334135 Enrollment ID: I20151111001141 |
| Provider Name | Crystal Moring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609383629 PECOS PAC ID: 7810257797 Enrollment ID: I20180214002583 |
| Provider Name | Debbie V Greenidge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679051684 PECOS PAC ID: 5890048102 Enrollment ID: I20181101002791 |
| Provider Name | Joanne Emilia Sproule |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528551728 PECOS PAC ID: 4880928886 Enrollment ID: I20190625003075 |
| Provider Name | Laronda Denise Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609405604 PECOS PAC ID: 7517385693 Enrollment ID: I20200922002564 |
| Provider Name | Haise S Reardon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851065684 PECOS PAC ID: 1557756210 Enrollment ID: I20220315002146 |
| Provider Name | Mary Tidoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073142881 PECOS PAC ID: 0547683237 Enrollment ID: I20220811000308 |
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