Healthcare Provider Details

I. General information

NPI: 1114438306
Provider Name (Legal Business Name): ANDREW P BAUMAN DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/16/2017
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5211 COMMONWEALTH CENTRE PKWY
MIDLOTHIAN VA
23112-2623
US

IV. Provider business mailing address

5211 COMMONWEALTH CENTRE PKWY
MIDLOTHIAN VA
23112-2623
US

V. Phone/Fax

Practice location:
  • Phone: 804-766-3515
  • Fax: 804-364-0972
Mailing address:
  • Phone: 804-766-3515
  • Fax: 804-234-3405

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number0104557451
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: