Village Doctor, P.C.

LBN: Village Doctor, P.C.
Village Doctor, P.C. is an health care organization with primary practice located at 10222 Warwick Blvd , Newport News VA 23601-4029. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Village Doctor, P.C. can be contacted via phone (757) 223-0124, or through Brady, John Edward via phone (757) 223-0124.

Contact Information

Primary practice address
10222 Warwick Blvd Newport News VA 23601-4029
Fax: (757) 223-0127
Website:
Authorized official contact:
Name: Brady, John Edward Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 0591153-2 Virginia

Profile Details

NPI number 1205974656
LBN Legal business name Village Doctor, P.C.
DBA Doing business as
Authorized official Brady, John Edward Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 1st, 2007
Last updated Mar 19th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205974656 NPPES
Virginia Other 49D1014015 CLIA LAB NUMBER

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