Healthcare Provider Details

I. General information

NPI: 1639674328
Provider Name (Legal Business Name): NORMAN REYNOLDS HURST DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2018
Last Update Date: 06/27/2025
Certification Date: 06/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

590 PETER JEFFERSON PKWY STE 100
CHARLOTTESVILLE VA
22911-4628
US

IV. Provider business mailing address

590 PETER JEFFERSON PKWY STE 100
CHARLOTTESVILLE VA
22911-4628
US

V. Phone/Fax

Practice location:
  • Phone: 434-654-8930
  • Fax:
Mailing address:
  • Phone: 434-654-8930
  • Fax: 434-654-8931

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number0102205793
License Number StateVA
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0102205793
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: