Individual
DR. BRUCE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1802 BRAEBURN DR, SALEM, VA 24153-7357
(540) 772-5959
(540) 772-3458
Mailing address
1802 BRAEBURN DR, SALEM, VA 24153-7357
(540) 772-5959
(540) 772-3458
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
0101027905
VA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
0101027905
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006095895
—
VA
05
—
1568433530
—
VA
01
—
P00277093
MEDICARE RAILROAD
VA
Enumeration date
01/30/2006
Last updated
12/09/2020
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