BRETT L. CASTRODALE (NPI# 1194168245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194168245 |
| Entity Type | Individual |
| Full Name | BRETT L. CASTRODALE |
| Credential | MD |
| Practice Address |
77 Market St Ste E Palmyra VA 22963-4687 |
| Mailing Address |
Po Box 9007 Charlottesville VA 22906-9007 |
| Practice Telephone | 4345899030 |
| Practice Fax Number | 4345899040 |
| Mailing Telephone | 4342951000 |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2020-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 0101261187 | VA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1194168245 | 05 |
| Street Address |
77 MARKET ST STE E |
| City | PALMYRA |
| State | VA |
| Zip Code | 22963-4687 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396983086 | Lindsay Ann Benson | Physical Therapist | 77 Market St, Suite B, Palmyra, VA 22963-4687 | 2009-02-03 |
| 1881133791 | Tidewater Physical Therapy, LLC | Physical Therapist | 77 Market St, Suite B, Palmyra, VA 22963-4687 | 2017-02-13 |
| 1407268154 | Nathaniel T Gillispie | Physical Therapist | 77 Market St, Suite B, Palmyra, VA 22963-4687 | 2014-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851809941 | Alexa Cservek | Psychologist | 9172 James Madison Hwy, Palmyra, VA 22963 | 2018-01-11 |
| 1457716672 | Caroline Bach | Physical Therapist | 109 Crofton Pl, Palmyra, VA 22963 | 2015-12-15 |
| 1699159251 | Lucy Little Hill | Community Health Worker | 3 Dew Court, Palmyra, VA 22963 | 2015-07-14 |
| 1720380306 | Sandra Mae Chirico | Occupational Therapist | 473 Jefferson Drive West, Palmyra, VA 22963 | 2010-12-02 |
| 1225263486 | Lucy Ricardo Larsen | Acupuncturist | 202 Turkeysag Trail, Palmyra, VA 22963 | 2009-05-18 |
| 1720132293 | James Colburn Steere | Dentist | 13653 James Madison Hwy, Palmyra, VA 22963 | 2007-01-22 |
| 1831106327 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 132 Main Street, County Office Building, Palmyra, VA 22963 | 2006-08-01 |
| 1356361430 | Susan J. Moore | Internal Medicine | 112 Crofton Place, Uva Lake Monticello Internal Medicine, Palmyra, VA 22963 | 2006-07-20 |
| 1366414385 | Phyllis Blattstain Montellese | Family Medicine | 2599 Central Plains Rd, Palmyra, VA 22963 | 2006-02-03 |
| 1538521646 | Ryan Mckinney | Physical Therapist | 77 Market St Ste B, Palmyra, VA 22963 | 2016-03-28 |
| Find all providers in zip 22963 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558916239 | Lolita Feld | Family Medicine | 941 Park Drive, Palmyra, PA 17078 | 2019-08-08 |
| 1558767509 | Rugh Henderson I | Family Medicine | 945 Stauffers Church Rd, Palmyra, PA 17078-9607 | 2014-11-18 |
| 1548676364 | Ingrid Bakalorz Blubaugh | Family Medicine | 1400 S Forge Rd Ste 1, Palmyra, PA 17078-9519 | 2014-07-02 |
| 1700146099 | John Rexis Aguilar | Family Medicine | 58 Dogleg Rd, Palmyra, VA 22963-2312 | 2012-05-21 |
| 1750309142 | Samang O Kim | Family Medicine | 6996 County Road 326, Palmyra, MO 63461-3119 | 2006-07-17 |
| 1194758227 | Adrian J Hohenwarter | Family Medicine | 745 South Grant Street, Palmyra, PA 17078-3215 | 2006-07-09 |
| 1356389498 | Floyd Memorial Hospital and Health Services | Family Medicine | 691 Main Street Ne, Palmyra Family Medicine, Palmyra, IN 47164-8894 | 2006-06-02 |
| 1225003841 | The Milton S Hershey Medical Center Physicians Group | Family Medicine | 941 Park Dr, Palmyra, PA 17078-3445 | 2006-02-17 |
| 1366414385 | Phyllis Blattstain Montellese | Family Medicine | 2599 Central Plains Rd, Palmyra, VA 22963 | 2006-02-03 |
| 1962481663 | Hannibal Clinic Operations, L.L.C. | Family Medicine | 1811 S Main St, Palmyra, MO 63461-1961 | 2006-01-11 |
| Find all providers in PALMYRA | ||||
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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.