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1124230917 NPI number — BLUEFIELD ORTHOPEDICS, P.C.

NPI Number: 1124230917
Health Care Provider/Practitioner: BLUEFIELD ORTHOPEDICS, P.C.

Information about “1124230917” NPI (BLUEFIELD ORTHOPEDICS, P.C.) exists in 1124230917 in HTML format HTML  |  1124230917 in plain Text format TXT  |  1124230917 in PDF (Portable Document Format) PDF  |  1124230917 in an XML format XML  formats.

NPI Number : 1124230917 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1124230917",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "BLUEFIELD ORTHOPEDICS, P.C.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1616 WEST CUMBERLAND ROAD",
    "SecondLineMailingAddress": "P, O, BOX 590",
    "MailingAddressCityName": "BLUEFIELD",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "24605-0590",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "276-322-3461",
    "MailingAddressFaxNumber": "276-326-6425",
    "FirstLinePracticeLocationAddress": "1616 W CUMBERLAND RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BLUEFIELD",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "24605-2005",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "276-322-3461",
    "PracticeLocationAddressFaxNumber": "276-326-6425",
    "EnumerationDate": "05/04/2007",
    "LastUpdateDate": "07/19/2012",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CHAND",
    "AuthorizedOfficialFirstName": "YOGESH",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "M.D.",
    "AuthorizedOfficialTelephoneNumber": "276-322-3461",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207XP3100X",
        "TaxonomyName": "Pediatric Orthopaedic Surgery Physician",
        "LicenseNumber": "0101035143",
        "LicenseNumberStateCode": "VA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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