Healthcare Provider Details

I. General information

NPI: 1073588158
Provider Name (Legal Business Name): HARRY ALAN BIGLEY JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/22/2006
Last Update Date: 02/05/2020
Certification Date: 02/05/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

436 CLAIRMONT CT SUITE 104
COLONIAL HEIGHTS VA
23834-1765
US

IV. Provider business mailing address

8580 MAGELLAN PKWY
RICHMOND VA
23227-1149
US

V. Phone/Fax

Practice location:
  • Phone: 804-520-5580
  • Fax: 804-520-5583
Mailing address:
  • Phone: 804-520-5580
  • Fax: 804-520-5583

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number0101019205
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: