Healthcare Provider Details

I. General information

NPI: 1285686287
Provider Name (Legal Business Name): ALEXANDER B BAER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 03/07/2023
Certification Date: 03/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

235 CANTRELL AVE
HARRISONBURG VA
22801-3248
US

IV. Provider business mailing address

1147 REDFIELDS RD
CHARLOTTESVILLE VA
22903-7889
US

V. Phone/Fax

Practice location:
  • Phone: 540-564-7378
  • Fax:
Mailing address:
  • Phone: 434-975-4934
  • Fax: 434-975-4934

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number0101232099
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code207PT0002X
TaxonomyMedical Toxicology (Emergency Medicine) Physician
License Number0101232099
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: