Healthcare Provider Details

I. General information

NPI: 1447747878
Provider Name (Legal Business Name): JOHN HINES BISHOP JR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/20/2018
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

844 KEMPSVILLE RD STE 212
NORFOLK VA
23502-3927
US

IV. Provider business mailing address

600 GRESHAM DR STE 8630
NORFOLK VA
23507-1904
US

V. Phone/Fax

Practice location:
  • Phone: 757-252-1700
  • Fax: 757-431-7775
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number0101275659
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number0101275659
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: