Individual
ROBERT BRUCE REDMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
633 SUNSET LN, SUITE B, CULPEPER, VA 22701-3942
(540) 829-8484
(540) 829-6699
Mailing address
633 SUNSET LN, SUITE B, CULPEPER, VA 22701-3942
(540) 829-8484
(540) 829-6699
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101035447
VA
174400000X
Specialist
ME74122
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386632073
—
VA
01
—
2386428
AETNA HMO
FL
05
—
252821500
—
FL
01
—
42279
BLUE CROSS BLUE SHEILD
FL
01
—
5758627
AETNA POS
FL
01
—
593671648
TAX ID
FL
01
—
8267136009
CIGNA INS
FL
Enumeration date
10/07/2005
Last updated
08/22/2024
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