Healthcare Provider Details

I. General information

NPI: 1225522105
Provider Name (Legal Business Name): ALBRECHT MARK HEYDER III MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2018
Last Update Date: 09/05/2025
Certification Date: 09/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 SENTARA CIR STE 201A
WILLIAMSBURG VA
23188-5716
US

IV. Provider business mailing address

855 W BRAMBLETON AVE
NORFOLK VA
23510-1005
US

V. Phone/Fax

Practice location:
  • Phone: 757-984-3975
  • Fax:
Mailing address:
  • Phone: 757-446-0375
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number0101271857
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number0101271857
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: