DR. BRUCE LEE WHITAKER JR. DO
NPI 1790923969
Internal Medicine - Critical Care Medicine in Augusta, GA
About Dr. Bruce Lee Whitaker Jr. Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BRUCE LEE WHITAKER JR. DO (NPI 1790923969) is an individual critical care medicine provider in Augusta, Georgia, licensed in Idaho (OC-0415) and active in the NPI registry since January 2009. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Michigan State University College Of Osteopathic Medicine (2001).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 3
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Bruce Lee Whitaker Jr. Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
AUGUSTA, GA 30901
AUGUSTA, GA 30901
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Bruce Whitaker's NPI number?
The NPI number for Bruce Whitaker is 1790923969. It was assigned to this individual provider in the NPPES registry on January 27, 2009.
Where is Bruce Whitaker located?
Bruce Whitaker practices at 1350 Walton Way, Augusta, GA 30901. The listed phone number is (706) 774-7745.
What is Bruce Whitaker's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.
Is Bruce Whitaker enrolled in Medicare?
Yes. Bruce Whitaker is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Bruce Whitaker was last updated on February 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Bruce Lee Whitaker Jr., DO · NPI 1790923969
Critical Care Medicine physician in Augusta, Georgia. Individual provider, active in the CMS NPPES registry since January 27, 2009.
## Identity
- **NPI:** 1790923969 (Entity type: Individual)
- **Enumerated:** January 27, 2009
- **Primary specialty:** Internal Medicine - Critical Care Medicine · taxonomy 207RC0200X
- **State license:** OC-0415 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 1350 WALTON WAY, Augusta, GA 30901-2612
- **Phone:** (706) 774-7745 · **Fax:** (706) 774-5789
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Michigan State University College Of Osteopathic Medicine, class of 2001
## Record status
- **NPPES last updated:** February 5, 2024
- **Other identifiers:** Other 0E00425 (MI); Medicaid 1790923969 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1790923969) · Data from the CMS NPPES public registry.