BERNARD ALVAN TISDALE (NPI# 1124009600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124009600 |
| Entity Type | Individual |
| Full Name | BERNARD ALVAN TISDALE |
| Credential | MD |
| Practice Address |
1109 W Marshall St Richmond VA 23220-3835 |
| Practice Telephone | 8042577337 |
| Practice Fax Number | 8043596898 |
| Mailing Telephone | 8042577337 |
| Mailing Fax Number | 8043596898 |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
0101040236 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 5866740 | 05 |
| Street Address |
1109 W MARSHALL ST |
| City | RICHMOND |
| State | VA |
| Zip Code | 23220-3835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063734390 | Central Virginia Associates of Surgery LLC | Surgery | 1109 W Marshall St, Richmond, VA 23220-3835 | 2010-03-01 |
| 1215030416 | Bernard A. Tisdale, M.d., P.c | Specialist | 1109 W Marshall St, Richmond, VA 23220-3835 | 2006-09-06 |
| 1083725527 | Kenneth R. Foxx | Surgery | 1109 W Marshall St, Richmond, VA 23220-3835 | 2006-08-31 |
| 1467438515 | Commonwealth Cancer Institute | Radiology | 1109 W Marshall St, Richmond, VA 23220-3835 | 2005-12-21 |
| 1669456570 | Marcus Wendell Brown | Radiology | 1109 W Marshall St, Richmond, VA 23220-3835 | 2005-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538637855 | Lindsay Kruger | Health Educator | 2 W Franklin Street, Richmond, VA 23220 | 2018-11-05 |
| 1578045993 | Lauren Jernegan | Physician Assistant | 204 S Mulberry St, Richmond, VA 23220 | 2018-09-01 |
| 1699266312 | Madhura Vikas Chitnavis | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Radiology, 980615, 1250 E Marshall St, Richmond, VA 23220 | 2018-05-29 |
| 1457842759 | Alfred Vann II | Social Worker | 119 W. Leigh St., Richmond, VA 23220 | 2018-05-22 |
| 1598269193 | Lilah Sol | Health Educator | Ymca, 2 W Franklin St., Richmond, VA 23220 | 2018-03-20 |
| 1568965531 | Anne Danforth | Health Educator | 2 West Franklin Street, Downtown Ymca, Richmond, VA 23220 | 2018-03-15 |
| 1154840791 | Constant Change Enterprises LLC | Counselor | 1805 Monument Avenue, Suite 208, Richmond, VA 23220 | 2017-09-14 |
| 1023534393 | Diane H Brown | Social Worker | 2106 Rosewood Avenue, Richmond, VA 23220 | 2017-08-18 |
| 1831624295 | Trent Roubleau | Student in an Organized Health Care Education/Training Program | 2114 Maplewood Ave, Richmond, VA 23220 | 2017-04-24 |
| 1679013312 | Blair Fine | Social Worker | 2117 West Main Street, Richmond, VA 23220 | 2017-02-28 |
| Find all providers in zip 23220 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255836953 | Raj Singh | Radiology | Vcu Department of Radiation Oncology, 980058, 1250 E. Marshall Street, Richmond, VA 23298-0058 | 2018-03-26 |
| 1225200132 | Timothy J Harris | Radiology | 401 College Street, Richmond, VA 23298-0058 | 2008-03-31 |
| 1407881907 | Commonwealth Primary Care | Radiology | 1109 West Marshall Street, Richmond, VA 23220 | 2006-07-12 |
| 1568454163 | John P Jacobs | Radiology | 1401 Chester Blvd, Richmond, IN 47374-1908 | 2005-08-19 |
| 1801206818 | Christopher Chipko | Radiology | 9101 Stony Point Dr, Richmond, VA 23235 | 2014-04-29 |
| 1689094930 | Hann-hsiang Chao | Radiology | 401 College St, Richmond, VA 23298-5017 | 2014-04-24 |
| 1235497967 | Nicholas Anthony Serrano | Radiology | 401 College St, Richmond, VA 23298-5017 | 2012-05-01 |
| 1356608434 | Joseph Daniel Pennington | Radiology | 9101 Stony Point Dr, Richmond, VA 23235 | 2012-04-13 |
| 1629393186 | Matthew E Schutzer | Radiology | 1201 Broad Rock Blvd, Dept of Radiation Oncology, Mcguire Vamc, Richmond, VA 23224-4915 | 2010-03-28 |
| 1356505291 | Alfredo I Urdaneta | Radiology | 401 College St, Ronc: Radiation Oncology, Richmond, VA 23298-5017 | 2008-07-10 |
| Find all providers in RICHMOND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.