Healthcare Provider Details

I. General information

NPI: 1356278980
Provider Name (Legal Business Name): ALEXANDER DILLARD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 BUMPASS RD
BUMPASS VA
23024-4331
US

IV. Provider business mailing address

PO BOX 101
BUMPASS VA
23024-0101
US

V. Phone/Fax

Practice location:
  • Phone: 540-872-5274
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License NumberE201702370
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: