GEORGE ALEXANDER BENTREM II (NPI# 1699749648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699749648 |
| Entity Type | Individual |
| Full Name | GEORGE ALEXANDER BENTREM II |
| Credential | M.D. |
| Practice Address |
12515 Timber Way Rt 259 Broadway VA 22815 |
| Mailing Address |
12515 Timber Way Rt 259 Po Box 6 Broadway VA 22815 |
| Practice Telephone | 5408967061 |
| Practice Fax Number | 5408967062 |
| Mailing Telephone | 5408967061 |
| Mailing Fax Number | 5408967062 |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 0101054180 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 5619734 | 05 |
| Street Address |
12515 TIMBER WAY RT 259 |
| 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 |
| 1588742225 | Springbrook Family Medicine | Clinic/Center | 173 East Springbrook Rd, Broadway, VA 22815 | 2006-11-01 |
| 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 |
| 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 | 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 |
|---|---|---|---|---|
| 1891880217 | Broadway Family Practice, PC | Family Medicine | 12515 Timberway, Broadway, VA 22815 | 2006-10-03 |
| 1902800949 | Stephen H Cox | Family Medicine | 101 Church Street, Broadway, NC 27505 | 2005-06-08 |
| 1053503417 | Jordan Lynn Hill | Family Medicine | 13892 Timber Way, Broadway, VA 22815-3332 | 2007-08-09 |
| 1356568927 | Sandhills Family Practice P A | Family Medicine | 101 Church Street, Broadway, NC 27505 | 2007-04-18 |
| 1720166994 | Mark Mast | Family Medicine | 13892 Timber Way, Broadway, VA 22815-3332 | 2006-11-02 |
| 1033290804 | Jennifer Derby | Family Medicine | 13892 Timber Way, Broadway, VA 22815-3332 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356554 | Sarah Keaton | Family Medicine | 380 Maple Rd, Callands, VA 24530-2538 | 2020-11-05 |
| 1306443684 | Montage Health and Wellness Corp | Family Medicine | 305 E Market St Ste O, Leesburg, VA 20176-4169 | 2020-10-08 |
| 1770190191 | First Care Collaborative | Family Medicine | 4053 Taylor Rd Ste K, Chesapeake, VA 23321-5526 | 2020-09-29 |
| 1326652900 | Liliana Kim | Family Medicine | 2908 Pepperlin Dr, Virginia Beach, VA 23456-3524 | 2020-09-01 |
| 1609489483 | Thompson Md LLC | Family Medicine | 7906 Andrus Rd Ste 8, Alexandria, VA 22306-3169 | 2020-08-31 |
| 1811509599 | Crystal Dawn Lowder-tibbs | Family Medicine | 1054 Boones Mill Rd, Boones Mill, VA 24065-4318 | 2020-08-23 |
| 1578173837 | Ohio Valley Physicians Inc | Family Medicine | 1520 Slate Creek Rd Ste 201, Grundy, VA 24614-6975 | 2020-08-03 |
| 1346859188 | Cprpm, Pllc | Family Medicine | 113 Cold Branch Rd, Forest, VA 24551-2111 | 2020-07-28 |
| 1134737265 | Joshua Fleming | Family Medicine | 1125 Old Graves Mill Rd Apt 316, Lynchburg, VA 24502-4312 | 2020-07-15 |
| 1457978751 | Donald Arthur Olson | Family Medicine | 1900 Holten Ave E, Big Stone Gap, VA 24273 | 2020-07-02 |
| 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.