NPI age
17 years
Enumerated 2009-01-27
● Active
Type 1 · Individual
DR. Bruce Lee Whitaker JR., DO
Whitaker is 1 of 19 internal medicine providers in Augusta and 1 of 221 in Georgia.
Primary specialty
Internal Medicine
Plus 3 subspecialties
Licensed in
ID, MI, LA
3 states
Status
Active
No deactivations on record
Last NPPES update
2024-02-05
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 221 active internal medicine providers in Georgia.
NPI age
17 years
↑ 2 yr above median (15 yr)
State licenses
3 states
Top 61% — 38% of peers are multi-state
Subspecialties
1
In the 81% of peers with subspecialties
NPI lifetime · 2009 → 2026
2009-01Enumerated in NPPES
2009
2026
Where they practice
Practice location
1350 Walton Way
Augusta, GA 309012612
Mailing address
Po Box 1705
Augusta, GA 309031705
Additional practice locations
3 secondary locations on file with NPPES.
Location 2
2525 W University Ave, Suite 300
Muncie, IN 473033400
Location 3
7777 Hennessy Blvd Ste 409
Baton Rouge, LA 708084365
Location 4
1055 N Curtis Rd
Boise, ID 837061309
Specialties
-
Internal Medicine PrimaryAn 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...
-
Internal MedicineA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (MI) | 0E00425 | BLUE CROSS BLUE SHIELD |
| 05 (MI) | 1790923969 |
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 266 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.