Individual
BRUCE IRA VOGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
8577 SUDLEY RD, MANASSAS, VA 20110-3860
(703) 368-7166
(703) 368-5103
Mailing address
8577 SUDLEY RD, MANASSAS, VA 20110-3860
(703) 368-7166
(703) 368-5103
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0103000297
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010300297
UNITED HEALTHCARE
—
01
—
0442570002
DMERC
—
01
—
090283
ANTHEM BCBS
—
01
—
35564
UNITED HEALTH CARE
—
01
—
480000291
MEDICARE TRAILBLAZERS
—
01
—
4800113111
RAILROAD MEDICARE
—
01
—
543846
AETNA
—
05
—
9331476
—
VA
01
—
A8890003
CAREFIRST BCBS
—
01
—
CC5940
RAILROAD MEDICARE GROUP
VA
Enumeration date
02/22/2006
Last updated
11/02/2009
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