Provider Demographics
NPI:1124080478
Name:STINNETT, BRUCE ALBERT V (MD)
Entity type:Individual
Prefix:DR
First Name:BRUCE
Middle Name:ALBERT
Last Name:STINNETT
Suffix:V
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6022 FOX HAVEN CT
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22193-4008
Mailing Address - Country:US
Mailing Address - Phone:850-341-0141
Mailing Address - Fax:
Practice Address - Street 1:3259 CATLIN AVE
Practice Address - Street 2:
Practice Address - City:QUANTICO
Practice Address - State:VA
Practice Address - Zip Code:22134-5109
Practice Address - Country:US
Practice Address - Phone:703-324-0227
Practice Address - Fax:703-784-1987
Is Sole Proprietor?:No
Enumeration Date:2006-04-03
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101259452207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine