Provider Demographics
NPI:1174500094
Name:HUFFMAN, RUFUS C (MD)
Entity Type:Individual
Prefix:DR
First Name:RUFUS
Middle Name:C
Last Name:HUFFMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 HOLLY HILL DR
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:VA
Mailing Address - Zip Code:22812-1037
Mailing Address - Country:US
Mailing Address - Phone:540-828-2983
Mailing Address - Fax:
Practice Address - Street 1:200 HIGH ST
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER
Practice Address - State:VA
Practice Address - Zip Code:22812-1114
Practice Address - Country:US
Practice Address - Phone:540-828-2634
Practice Address - Fax:540-828-6911
Is Sole Proprietor?:No
Enumeration Date:2005-12-30
Last Update Date:2008-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101-027397207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA005622948Medicaid
B07326Medicare UPIN
080005612Medicare ID - Type Unspecified
VA005622948Medicaid