MEDICARE: GREGORY STIDHAM 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	207Q00000X	Family Medicine Physician	0101-037121	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487627378
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GREGORY STIDHAM MD

Provider Business Mailing Address
First Line	:	1107A BROOKDALE ST
Second Line	:
City	:	MARTINSVILLE
State	:	VA
Zip	:	24112-4501
Country	:	US
Telephone Number	:	276-670-3300
Fax Number	:

Provider Business Practice Location Address
First Line	:	1107A BROOKDALE ST
Second Line	:
City	:	MARTINSVILLE
State	:	VA
Zip	:	24112-4501
Country	:	US
Telephone Number	:	276-670-3300
Fax Number	:

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

Provider Enumeration Date	:	02/10/2006
Last Update Date	:	12/07/2020

Similar Medicare Providers

1083618987 — CLARENCE E PEARSON MD
Practice Location Address:

1107B BROOKDALE ST
MARTINSVILLE, VA
24112-4501

Practice Phone: 276-634-4400
Practice Fax: 276-638-2900

1871574111 — MS. MELISSA H SMITH NP
Practice Location Address:

1107A BROOKDALE ST
MARTINSVILLE, VA
24112-4501

Practice Phone: 276-629-1076
Practice Fax:

1295707586 — DR. MERRIS A STAMBAUGH MD
Practice Location Address:

1107 BROOKDALE ST
MARTINSVILLE, VA
24112-4501

Practice Phone: 276-670-3300
Practice Fax: 276-634-0379

1679545578 — MS. LINDA D BLEDSOE MSN, RN, FNP
Practice Location Address:

1107 BROOKDALE ST
MARTINSVILLE, VA
24112-4501

Practice Phone: 276-670-3300
Practice Fax: 276-634-0379

1851369375 — PAUL EASON MD
Practice Location Address:

1107A BROOKDALE ST
MARTINSVILLE, VA
24112-4501

Practice Phone: 276-634-0379
Practice Fax:

1609844711 — LINDA BUCHANAN MD
Practice Location Address:

1107A BROOKDALE ST
MARTINSVILLE, VA
24112-4501

Practice Phone: 276-634-0379
Practice Fax:

Directions to “ GREGORY STIDHAM MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.