DR. BRUCE LEE WHITAKER JR. DO
NPI 1790923969
Internal Medicine - Critical Care Medicine in Augusta, GA

Active since January 27, 2009PECOS EnrolledAccepts Medicare Assignment
1350 WALTON WAY, AUGUSTA, GA 30901(706) 774-7745(706) 774-5789 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 5, 2024, Apr 12, 2022, Sep 22, 2021 and 2 more (5 updates tracked since 2016).

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

NPI1790923969
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameDR. BRUCE LEE WHITAKER JR.Credential: DO
Location Address1350 WALTON WAYAugusta, GA 30901-2612
Mailing AddressPo Box 1705Augusta, GA 30903-1705 · (706) 854-6008 · Fax (706) 774-7230
Fax(706) 774-5789
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2001
Enumeration DateJanuary 27, 2009
Last NPPES UpdateFebruary 5, 20245 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2024
✔ NPI 1790923969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
Licenses✔ Licensed in ID · OC-0415✔ Licensed in LA · 062124✔ Licensed in MI · 5101016483
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal MedicineTaxonomy 207R00000X · License 5101016483 (MI)
1350 WALTON WAY, Augusta, GA 30901

Secondary Practice Locations 3

Location 12525 W University Ave, Suite 300Muncie, IN 47303-3400 · Phone (586) 214-8113
Location 27777 Hennessy Blvd Ste 409Baton Rouge, LA 70808-4365 · Phone (225) 765-5864 · Fax (225) 765-2013
Location 31055 N Curtis RdBoise, ID 83706-1309 · Phone (208) 302-2000 · Fax (208) 302-2055

Other Identifiers 2

Other0E00425MI · Blue Cross Blue Shield
Medicaid1790923969MI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

PECOS PAC ID446437131
PECOS Enrollment IDI20251113002272
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

10

Medicare enrollment records show Bruce Whitaker reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
1108 ROSS CLARK CIR
Dothan, AL 36301
  • Reassigned Medicare billing, Alabama enrollment
  • 514 clinicians in this Medicare group
Emergency Medicine
775 S MAIN ST
Chelsea, MI 48118
  • Reassigned Medicare billing, Michigan enrollment
  • 51 clinicians in this Medicare group
Internal Medicine
300 NORTH AVE
Battle Creek, MI 49017
  • Reassigned Medicare billing, Michigan enrollment
  • 557 clinicians in this Medicare group
Hospitalist
601 JOHN STREET
Kalamazoo, MI 49007
  • Reassigned Medicare billing, Michigan enrollment
  • 1,133 clinicians in this Medicare group
Emergency Medicine
800 E COLUMBIA ST
Mason, MI 48854
  • Reassigned Medicare billing, Michigan enrollment
  • 916 clinicians in this Medicare group
Orthopaedic Surgery
2373 64TH ST SW STE 2700
Byron Center, MI 49315
  • Reassigned Medicare billing, Michigan enrollment
  • 737 clinicians in this Medicare group
Family Medicine
1447 N HARRISON ST
Saginaw, MI 48602
  • Reassigned Medicare billing, Michigan enrollment
  • 720 clinicians in this Medicare group
Internal Medicine
850 W BARAGA AVE
Marquette, MI 49855
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Apogee Medical Group Michigan PC
  • 143 clinicians in this Medicare group
Rural Health
921 W SHARON AVE
Houghton, MI 49931
  • Reassigned Medicare billing, Michigan enrollment
  • 130 clinicians in this Medicare group
Psychologist
1055 N CURTIS RD
Boise, ID 83706
  • Reassigned Medicare billing, Idaho enrollment
  • 781 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

New Patient
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Internal Medicine
1350 WALTON WAY
AUGUSTA, GA 30901
Pathology (Anatomic Pathology & Clinical Pathology)
1350 WALTON WAY
AUGUSTA, GA 30901
Internal Medicine (Gastroenterology)
1350 WALTON WAY
AUGUSTA, GA 30901
Pathology (Anatomic Pathology & Clinical Pathology)
1350 WALTON WAY
AUGUSTA, GA 30901
Internal Medicine
1350 WALTON WAY, HOSPITALISTS
AUGUSTA, GA 30901
Speech-Language Pathologist
1350 WALTON WAY
AUGUSTA, GA 30901
Speech-Language Pathologist
1350 WALTON WAY
AUGUSTA, GA 30901
Anesthesiology
1350 WALTON WAY
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.

Which organizations bill Medicare for Bruce Whitaker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bruce Whitaker reassigns Medicare benefits to 10 organizations: Houston County Healthcare Authority (Dothan, AL), Hospitalist Physicians Medical Group Of Michigan, PC (Chelsea, MI), Bronson Battle Creek Hospital (Battle Creek, MI), Bronson Methodist Hospital (Kalamazoo, MI), Edward W. Sparrow Hospital Association (Mason, MI) and 5 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bruce Whitaker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bruce Whitaker accept?

Health plans from Blue Cross and Blue Shield of Alabama and Select Health list Bruce Whitaker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.