DR. BRUCE LUCERO (NPI# 1457818221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457818221 |
| Entity Type | Individual |
| Full Name | DR. BRUCE LUCERO |
| Credential | MD |
| Practice Address |
7116 Bedstraw Ct Springfield VA 22152-3158 |
| Practice Telephone | 6198006191 |
| Mailing Telephone | 6198006191 |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2019-02-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QB0002X |
Family Medicine Specialization: Obesity Medicine |
0101053534 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
7116 BEDSTRAW CT |
| City | SPRINGFIELD |
| State | VA |
| Zip Code | 22152-3158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140214 | Samantha Maria Puller | Physical Therapist | 8348 Traford Lane Suite 200, Springfield, VA 22152 | 2020-07-05 |
| 1780102335 | Illuminated Direction | Health Maintenance Organization | 6116 Rolling Road Suite 104, Springfield, VA 22152 | 2017-09-05 |
| 1023533650 | Megan H Morrow | Dentist | 5803 Rolling Rd Ste 211, Springfield, VA 22152 | 2017-08-04 |
| 1851815179 | Samantha Apoh | Registered Nurse | 6031 Sweet Oak Ct, Springfield, VA 22152 | 2017-07-28 |
| 1003366436 | Caitriona Hayes | Psychologist | 8134 Old Keene Mill Road, Suite 101, Springfield, VA 22152 | 2016-10-10 |
| 1114303450 | Catherine L Kestle | Social Worker | 8136 Old Keene Mill Rd, Suite A-302, Springfield, VA 22152 | 2015-08-10 |
| 1770999658 | Shehzad Muhammad Sajid | Dentist | 7200 Jillspring Ct, Springfield, VA 22152 | 2014-07-11 |
| 1063751295 | Rapfhel Adebowale Adenola | Nurse's Aide | 7541 Boston Blvd, Springfield, VA 22152 | 2013-02-07 |
| 1669742706 | Selamawit Harar | Pharmacist | 8414 Olk Keene Mill Rd, A, Springfield, VA 22152 | 2012-01-06 |
| 1275822116 | Elizabeth Diane Reed | Social Worker | 8440 Old Keene Mill Rd., Family Counseling of Springfield, Springfield, VA 22152 | 2011-03-31 |
| Find all providers in zip 22152 | ||||
| Taxonomy Code | 207QB0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Obesity Medicine |
| A physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity. |
| Notes: Source: American Board of Obesity Medicine, www.abom.org [7/1/2015: title and definition modified] Additional Resource: American Society of Bariatric Physicians, www.asbp.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831620251 | Cavery Wellness of Woodbridge | Family Medicine | 14330 Gideon Dr, Woodbridge, VA 22192-4640 | 2017-03-27 |
| 1508212184 | Honest Medical Weight Loss LLC | Family Medicine | 4500 Southgate Pl Ste 200, Chantilly, VA 20151-1714 | 2016-05-12 |
| 1518155126 | Northern Virginia Area Bariatric Consultants | Family Medicine | 2010a Opitz Blvd, Woodbridge, VA 22191 | 2007-10-09 |
| 1598141863 | Midlothian Wellness Clinic, LLC | Family Medicine | 230 Browns Way Rd, Midlothian, VA 23114-9501 | 2015-08-10 |
| 1407232770 | Short Pump Wellness Clinic, LLC | Family Medicine | 11551 Nuckols Rd, Suite C, Glen Allen, VA 23059-5565 | 2015-08-10 |
| 1790100477 | Lansdowne Weightloss & Wellness LLC | Family Medicine | 19500 Sandridge Way, # 170, Leesburg, VA 20176-3688 | 2014-03-04 |
| 1770745903 | Nicanor C Sutingco | Family Medicine | 2214 Executive Dr, Ste. B, Hampton, VA 23666-6606 | 2008-06-29 |
| City | SPRINGFIELD |
| Zip Code | 22152 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.