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1396745535

NPI Code Detail

MEDICARE: DR. JAMES TODD REED MD

MEDICARE: DR. JAMES TODD REED MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	0101047046	VA
2	207R00000X	Internal Medicine Physician	2019-00994	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
12	110184240	OTHER	VA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	224239	OTHER	VA	ANTHEM/HEALTHKEEPERS
2	4140488	OTHER	VA	AHP MGD CHOICE
3	45560012	OTHER	VA	BCBS DC CAPCARE
4	541908735	OTHER	VA	PHCS
5	723582	OTHER	VA	AFFORDABLE FIRST HEALTH
6	125859	OTHER	VA	ONE HEALTH GREATWEST
7	0400415	OTHER	VA	UNITED HEALTH VIRGINIA
8	0403426	OTHER	VA	UNITED HEALTH MID-ATLANTI
9	541908735	OTHER	VA	CCN
10	461905	OTHER	VA	AETNA/US HEALTHCARE
11	541908735	OTHER	VA	PREFERRED PLAN
13	224239	OTHER	VA	TRIGON KEYAD
14	505119	OTHER	VA	NCPPO
15	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
16	259978	OTHER	VA	MDIPA/OPTIMUM CHOICE/MAMS
17	5325453-033	OTHER	VA	CIGNA HMO
18	541908735	OTHER	VA	CHAMPUS TRICARE/STD

General Provider Information

NPI Number	:	1396745535
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES TODD REED MD

Provider Business Mailing Address
First Line	:	PO BOX 60447
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28260-0447
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8110 HEALTHCARE LOOP
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28215-7069
Country	:	US
Telephone Number	:	704-316-2310
Fax Number	:	704-316-2311

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/29/2005
Last Update Date	:	10/27/2020

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1043753312 — LAURA LENARD WHNP-BC
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Directions to “ DR. JAMES TODD REED MD” Practice Location

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