Village Doctor, P.C. in Newport News - Primary Care
Village Doctor, P.C. - NPI 1205974656
Village Doctor, P.C. is a Primary Care in Newport News, Virginia. Village Doctor, P.C. practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Village Doctor, P.C. is 1205974656. The last update date is 2021-03-19.
Village Doctor, P.C.'s current location address is 860 Omni Blvd Ste 101, Newport News, Virginia. You can contact this provider via phone number 7572328769 and fax number 7572328875. The mailing address for Village Doctor, P.C. is 860 Omni Blvd Ste 101, Newport News, Virginia. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Village Doctor, P.C. |
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Address | 860 Omni Blvd Ste 101, Newport News, Virginia |
Phone Number | 7572328769 |
Fax Number | 7572328875 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Brady Edward John |
Credentials | MD |
Telephone Number | 7572230124 |
NPI Number Detail
NPI Number | 1205974656 |
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Provider Enumeration Date | 2007-02-01 |
Last Updated Date | 2021-03-19 |
Provider Mailing Address Detail
Address | 860 Omni Blvd Ste 101 |
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City | Newport News |
State | Virginia (VA) |
Post Code | 236064430 |
Phone Number | 7572328769 |
Fax Number | 7572328875 |
Provider's Primary Taxonomy Detail
Speciality | Primary Care |
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Taxonomy | 261Qp2300X |
Licence No | 0591153-2 |
Definition: Serves as the first point of contact for comprehensive healthcare services. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
49D1014015 | VA | CLIA LAB NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Village Doctor, P.C. by the Centers for Medicare & Medicaid Services?
The Village Doctor, P.C. has been issued the NPI (National Provider Identifier) 1205974656 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Village Doctor, P.C.?
The Village Doctor, P.C. is physically situated at 860 Omni Blvd Ste 101, in the city of Newport News, state of VA, with the postal code 236064430.
What is the area of specialization for Village Doctor, P.C., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Village Doctor, P.C. is Primary Care, and the corresponding taxonomy code that categorizes this area of expertise is 261Qp2300X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1205974656 to Village Doctor, P.C.?
The Centers for Medicare & Medicaid Services originally issued the 1205974656 to Village Doctor, P.C. on 2007-02-01.
When was the information related to Village Doctor, P.C. most recently updated or refreshed?
The details pertaining to the Village Doctor, P.C., including its address, specialty, and other relevant information, were last updated or refreshed on 2021-03-19.
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