DR. BRENDEN M BURKHOLDER (NPI# 1922374214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922374214 |
| Entity Type | Individual |
| Full Name | DR. BRENDEN M BURKHOLDER |
| Credential | D.O |
| Practice Address |
291 Mcbride Ln Gretna VA 24557-2773 |
| Mailing Address |
Po Box 13367 Roanoke VA 24033-3367 |
| Practice Telephone | 4346561274 |
| Mailing Telephone | 8004228482 |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2017-05-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 0102204071 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
291 MCBRIDE LN |
| City | GRETNA |
| State | VA |
| Zip Code | 24557-2773 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609873009 | Pamela G. Smith | Internal Medicine | 291 Mcbride Ln, Gretna, VA 24557-2773 | 2005-06-30 |
| 1124587282 | Amber Mckinney | Physical Therapist | 291 Mcbride Ln, Gretna, VA 24557-2773 | 2019-03-18 |
| 1790240380 | Michelle Fuquay Beale | Nurse Practitioner | 291 Mcbride Ln, Gretna, VA 24557-2773 | 2019-02-07 |
| 1528580164 | Anne Saunier | Nurse Practitioner | 291 Mcbride Ln, Gretna, VA 24557-2773 | 2017-07-14 |
| 1437606340 | Andrew Lee Quinn Jr. | Nurse Practitioner | 291 Mcbride Ln, Gretna, VA 24557-2773 | 2016-09-08 |
| 1407303852 | Melissa Coleman | Nurse Practitioner | 291 Mcbride Ln, Gretna, VA 24557-2773 | 2016-09-01 |
| 1013031368 | Centra Medical Group, LLC | Clinic/Center | 291 Mcbride Ln, Gretna, VA 24557-2773 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669013207 | Patricia Ann Marshall | Technician | 590 Island Point Dr., Gretna, VA 24557 | 2019-10-04 |
| 1598932394 | Gretna Rescue Squad Inc | Ambulance | 102 East Gretna Road, Gretna, VA 24557 | 2008-05-12 |
| 1770008708 | Brendle Crews Stone | Driver | 536 Hodnetts Rd, Gretna, VA 24557 | 2017-08-10 |
| 1215022496 | Michael Lee Bond | Dentist | 603 S Main St, Gretna, VA 24557 | 2006-10-04 |
| 1770957995 | Tracy Overstreet Garrett | Nurse Practitioner | 291 Mcbride Lane, Gretna, VA 24557-0000 | 2015-11-27 |
| 1407256274 | Centra Health, Inc. | General Acute Care Hospital | 291 Mccbride Lane, Gretna, VA 24557-0291 | 2014-08-29 |
| 1578800181 | Thomas D Morris | Pharmacist | 108 Vaden Drive, Gretna, VA 24557-0456 | 2013-01-16 |
| 1578089819 | Terry Callands | Driver | 545 Telegraph Rd, Gretna, VA 24557-1777 | 2017-08-18 |
| 1649226572 | Doss Estates, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 860 Piney Grove Rd, Gretna, VA 24557-1843 | 2006-05-25 |
| 1689199747 | Joseph Chambers | Driver | 2517 Hodnetts Rd, Gretna, VA 24557-1928 | 2017-08-10 |
| Find all providers in zip 24557 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205459732 | Gulf Coast Medical Specialists LLC | Internal Medicine | 1620 Belle Chasse Hwy Suite 101, Gretna, LA 70056 | 2020-05-19 |
| 1205011517 | Zia Rehman Khan | Internal Medicine | 1120 Newton St, Gretna, LA 70053-6340 | 2008-01-04 |
| 1558572446 | Kendria E. Holt-rogers | Internal Medicine | 501 Lapalco Blvd, Gretna, LA 70056-7336 | 2007-05-24 |
| 1902955990 | Betty Jean Dowty | Internal Medicine | 548 Lapalco Blvd, Gretna, LA 70056-7305 | 2007-01-09 |
| 1235295551 | Hai Nam Nguyen | Internal Medicine | 1221 Amelia St, Gretna, LA 70053-5533 | 2006-12-29 |
| 1508963968 | Dyess Medical Center Incorporated | Internal Medicine | # 12 Westside Expressway, Gretna, LA 70053 | 2006-09-20 |
| 1386749653 | James Malcolm Dyess | Internal Medicine | 12 Westbank Expy, Gretna, LA 70053-3647 | 2006-09-13 |
| 1992762603 | Christy Lynn Valentine | Internal Medicine | 145 Lapalco Blvd, Suite B, Gretna, LA 70056-7149 | 2006-04-27 |
| 1023086287 | Sarath Bose Battula | Internal Medicine | 2500 Belle Chasse Hwy., Gretna, LA 70056 | 2006-03-14 |
| 1740276229 | Ralph F Cameron | Internal Medicine | 175 Hector Ave, Gretna, LA 70056-2590 | 2005-09-21 |
| Find all providers in GRETNA | ||||
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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.