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Deactivated NPI 1730151564 Deactivated / Inactive NPI Male Practitioner

Dr. Bruce A Long , MD

Surgery • Roanoke, VA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Bruce Long has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 06, 2006
NPI Deactivation Date December 01, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Bruce Long, MD was a registered Surgery practicing in Roanoke, VA. Throughout an active medical career spanning 15 years, Dr. Long provided care at the practice location at 3 RIVERSIDE CIRCLE until profile deactivation on 2021-12-01.

Historical Medicare Part B clinical services included established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

3 Riverside Circle

Roanoke, VA 240164955

Telephone 5402245170
Fax 5409838212
Associated Practice Facility / Clinic
🏢 Carilion Medical Center Facility NPI 1982908547

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Roanoke, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.7 Yrs
State Avg: 24.6 Yrs
Regional Practice Density
47 Specialists

Practicing in Roanoke, VA (909 Statewide)

Telehealth Adoption Rate
19.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
31.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
18 15 $75.33 $51.79

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License VA 0101-049172

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Jed Gonzalo , MD

Internal Medicine

NPI 1003073685

Doctor of Medicine (M.D.)

Dr. Matthew Dawson , MD

Physical Medicine & Rehabilitation

NPI 1003159021

Doctor of Medicine (M.D.)

NPI 1003202425

Doctor of Medicine (M.D.)

Modupe White , FNP-C

Nurse Practitioner - Family

NPI 1003316431

Family Nurse Practitioner (Certified)

Dr. Vishal Gohil , MD

Internal Medicine - Gastroenterology

NPI 1013120997

Doctor of Medicine (M.D.)

Dr. John Fraser , MD

Neurological Surgery

NPI 1013987270

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 01, 2021

Record deactivated on December 01, 2021

NPI Profile Active August 12, 2011

NPI status registered as active in NPPES database

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Updated Practice Location August 12, 2011

Registered at 3 RIVERSIDE CIRCLE, ROANOKE, VA 240164955 (Tel: 5402245170)

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Updated Business Mailing Address August 12, 2011

Registered at 3 RIVERSIDE CIRCLE, ROANOKE, VA 240164955 (Tel: 5402245170)

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Provider Name / Credentials Updated August 12, 2011

Recorded as BRUCE LONG, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 12, 2011

Surgery (License #0101-049172 in VA)

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Initial NPI Registration & Enumeration February 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1730151564
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 06, 2006
Last Update: August 12, 2011
Deactivation Date: December 01, 2021

Mailing Address

3 Riverside Circle

Roanoke, VA 240164955

Phone: 5402245170

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.