Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Yongdeok Bruce Shin, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1033812722

Mr. Yongdeok Bruce Shin, DO is an Internal Medicine in Roanoke, Virginia. Graduated from Edward via Col of Osteo Medicine-Virginia Campus in 2023, 3 years ago. Works from 2 locations. Licensed in Virginia.

Years since qualifying
3
Trained at
Edward via Col of Osteo Medicine-Virginia Campus
Licensed in
VA
In the registry since
2023
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Roanoke, VA

No coordinates on file. Search this address in Google Maps

Additional practice locations (1)

  • 1001 Sam Perry Blvd, Fredericksburg, VA 22401 — (540) 741-1451

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 0102209167 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1033812722
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 23, 2023
Last updated in NPPESMay 19, 2026
Certification dateMay 19, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolEDWARD VIA COL OF OSTEO MEDICINE-VIRGINIA CAMPUS
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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