Individual
VICTOR M BRUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
225 CLEARFIELD AVE, VIRGINIA BEACH, VA 23462-1815
(757) 457-5100
(757) 961-3934
Mailing address
225 CLEARFIELD AVE, VIRGINIA BEACH, VA 23462-1815
(757) 457-5100
(757) 961-3934
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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