SPRINGBROOK FAMILY MEDICINE (NPI# 1588742225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588742225 |
| Entity Type | Organization |
| Organization Name | SPRINGBROOK FAMILY MEDICINE |
| Practice Address |
173 East Springbrook Rd Broadway VA 22815 |
| Mailing Address |
Po Box 309 Broadway VA 22815-0309 |
| Practice Telephone | 5408965400 |
| Practice Fax Number | 5408969923 |
| Mailing Telephone | 5408965400 |
| Mailing Fax Number | 5408969923 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | DR. JAMES ROBERT REID IV (OWNER) |
| Authorized Official Telephone | 5408965400 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
00000 | VA | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Springbrook Family Medicine P.C. | 173 E Springbrook Road, Po Box 309, Broadway, Virginia 22815 |
| Street Address |
173 EAST SPRINGBROOK RD |
| City | BROADWAY |
| State | VA |
| Zip Code | 22815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659919017 | Shenandoah Pain and Palliative Care Clinic, LLC | Nurse Practitioner | 173 E. Springbrook Road, Unit 3, Broadway, VA 22815 | 2019-12-17 |
| 1770130627 | Kathryn Walkley | Marriage & Family Therapist | 348 Louisa St, Broadway, VA 22815 | 2019-08-23 |
| 1912440116 | Life Enrichment Services, LLC | Counselor | 150 W Springbrook Rd, Broadway, VA 22815 | 2016-11-21 |
| 1205990983 | Tabitha T Garrison | Pain Medicine | 173 East Springbrook Road, Broadway, VA 22815 | 2006-12-20 |
| 1891880217 | Broadway Family Practice, PC | Family Medicine | 12515 Timberway, Broadway, VA 22815 | 2006-10-03 |
| 1366550634 | Jeanne Marie Stutzman | Specialist | 223 E Springbook Rd, Broadway, VA 22815 | 2006-08-28 |
| 1750345310 | Brenda Mcgillivray Smith | Counselor | 1155 Early Dr, Broadway, VA 22815 | 2006-04-12 |
| 1699749648 | George Alexander Bentrem II | Family Medicine | 12515 Timber Way, Rt 259, Broadway, VA 22815 | 2006-02-15 |
| 1609367135 | Kathryn Vasco | Physician Assistant | 13892 Timber Way, Broadway, VA 22815 | 2018-05-21 |
| 1023477445 | Cori Pflugradt | Physician Assistant | 13892 Timber Way, Broadway, VA 22815 | 2016-02-12 |
| Find all providers in zip 22815 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1962022392 | Gladeview Medical LLC | Clinic/Center | 279 Gladeview Dr, Fries, VA 24330-3936 | 2020-04-27 |
| 1578182986 | Libertas Leadership | Clinic/Center | 405 Sperryville Pike, Culpeper, VA 22701-2151 | 2020-04-15 |
| 1497395768 | Holistic Health and Healing Inc | Clinic/Center | 3690 Greensboro Road, Ridgeway, VA 24148 | 2020-01-14 |
| 1700426244 | Quad/med, LLC | Clinic/Center | 366 Draft Avenue, Stuarts Draft, VA 24477-2941 | 2020-01-13 |
| 1114560653 | Amy Beyer LLC | Clinic/Center | 2611 Thomas Jefferson Pkwy, Palmyra, VA 22963-5000 | 2019-10-28 |
| Find all providers with the same taxonomy | ||||
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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.