BRUCE MAULBETSCH (DO) – Emergency Medicine Physician, NPI 1295782407
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for BRUCE MAULBETSCH (DO)
5000 COX RD
SUITE 100
GLEN ALLEN, VA 230609263
Phone: (804) 968-5700
Fax: (804) 217-7991
Type: Mailing
Med Express, 12997, Warwick Boulevard, Wendwood, Newport News, Newport News City, Virginia, 23602, United States
NEWPORT NEWS, VA 23606
Phone: (757) 369-9446
Fax: (757) 369-9554
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-04-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070830000611 | I | Family Practice | VA | TBD |
| I20150421001810 | I | Emergency Medicine | MI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 23060)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | VA | |
| Emergency Medicine | VA | |
| - | VA | |
| Nurse Practitioner | AZ | |
| Family Practice, Hospitalist | VA | |
| Nurse Practitioner | VA | |
| Internal Medicine | VA | |
| Nurse Practitioner | VA | |
| Emergency Medicine | VA | |
| Family Practice | VA |
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