Broadway Family Practice, Pc

LBN: Broadway Family Practice, Pc
Broadway Family Practice, Pc is an health care organization with primary practice located at 12515 Timberway , Broadway VA 22815. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Broadway Family Practice, Pc can be contacted via phone (540) 896-7061, or through Bentrem, George A via phone (540) 896-7061.

Contact Information

Primary practice address
12515 Timberway Broadway VA 22815
Phone: (540) 896-7061
Fax: (540) 896-7062
Website:
Map and Directions
Authorized official contact:
Name: Bentrem, George A Doctor of Medicine (MD)
Phone: (540) 896-7061

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101054180 Virginia

Profile Details

NPI number 1891880217
LBN Legal business name Broadway Family Practice, Pc
DBA Doing business as
Authorized official Bentrem, George A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2006
Last updated May 2nd, 2008 - about 18 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 1891880217 NPPES
Virginia MEDICAID 5619734

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