Individual
VICTOR M BRUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0101056141
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004770E81
EVMS VA MEDICARE
VA
05
—
007504624
—
VA
01
—
010077371
EVMS VA MEDICAID
VA
01
—
066KM
EVMS NC BC/BS
NC
01
—
137412
EVMS ANTHEM BC/BS
—
01
—
1902884133
ANTHEM HEALTHKEEPERS
VA
01
—
465721
ANTHEM BC BS
VA
01
—
65653
SENTARA HEALTHCARE
VA
01
—
71246
EVMS SENTARA/OPTIMA
—
01
—
89066KM
EVMS NC MEDICAID
NC
Enumeration date
01/06/2006
Last updated
03/23/2018
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