Provider Demographics
NPI:1710907878
Name:ERWIN, MICHAEL BRUNE (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:BRUNE
Last Name:ERWIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:8001 FRANKLIN FARMS DR
Mailing Address - Street 2:SUITE 130
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23229-5108
Mailing Address - Country:US
Mailing Address - Phone:804-521-5800
Mailing Address - Fax:804-545-4340
Practice Address - Street 1:7611 FOREST AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23229-4946
Practice Address - Country:US
Practice Address - Phone:804-288-4827
Practice Address - Fax:804-288-4494
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2020-10-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101237854207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010189276Medicaid
VA181801OtherANTHEM/VA HEALTHKEEPERS
VA180766OtherANTHEM/VA HEALTHKEEPERS
VA350632OtherMAMSI
VA3952716OtherAETNA/US HEALTHCARE
VA181800OtherANTHEM/VA HEALTHKEEPERS
VA181803OtherANTHEM/VA HEALTHKEEPERS
VA319124OtherSOUTHERN HEALTH SERVICES
VA3582558OtherCIGNA
VA181797OtherANTHEM/VA HEALTHKEEPERS
VA271413300OtherFEDERAL BLACK LUNG
VA181794OtherANTHEM/VA HEALTHKEEPERS
VA181804OtherANTHEM/VA HEALTHKEEPERS
VA7825532OtherAETNA/US HEALTHCARE
VAP00226693OtherRAILROAD MEDICARE
VA181797OtherANTHEM/VA HEALTHKEEPERS
VA181803OtherANTHEM/VA HEALTHKEEPERS