Provider Demographics
NPI:1528086626
Name:BRUCE, JULIA A (MD)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:A
Last Name:BRUCE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:7500 IRON BAR LANE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:GAINESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20155
Mailing Address - Country:US
Mailing Address - Phone:703-753-1200
Mailing Address - Fax:703-753-1118
Practice Address - Street 1:7500 IRON BAR LANE
Practice Address - Street 2:SUITE 100
Practice Address - City:GAINESVILLE
Practice Address - State:VA
Practice Address - Zip Code:20155
Practice Address - Country:US
Practice Address - Phone:703-753-1200
Practice Address - Fax:703-753-1118
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2016-12-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101056322207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA080006263Medicare ID - Type Unspecified
VAG28423Medicare UPIN