Peninsula Orthopaedic Group, Pc

LBN: Peninsula Orthopaedic Group, Pc
Peninsula Orthopaedic Group, Pc is an health care organization with primary practice located at 304 Marcella Rd Suite B, Hampton VA 23666-2578. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as the primary health care specialty. Peninsula Orthopaedic Group, Pc can be contacted via phone (757) 870-0699, or through Reid, Bruce Walter via phone (757) 870-0699.

Contact Information

Primary practice address
304 Marcella Rd Suite B Hampton VA 23666-2578
Phone: (757) 870-0699
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Reid, Bruce Walter Doctor of Medicine (MD)
Phone: (757) 870-0699

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 0101036538 Virginia

Profile Details

NPI number 1609969641
LBN Legal business name Peninsula Orthopaedic Group, Pc
DBA Doing business as
Authorized official Reid, Bruce Walter Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2006
Last updated Aug 24th, 2013 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1609969641 NPPES
Virginia Other ANTHEM 256737

Popular Providers