MEDICARE: BELINDA B BERAME M.D.

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	173000000X	Legal Medicine	0101056820	VA
2	207Q00000X	Family Medicine Physician	0101056820	VA

General Provider Information

NPI Number	:	1841216900
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BELINDA B BERAME M.D.

Provider Business Mailing Address
First Line	:	PO BOX 60447
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28260-0447
Country	:	US
Telephone Number	:	704-384-7840
Fax Number	:	704-384-7830

Provider Business Practice Location Address
First Line	:	10322 BRISTOW CENTER DR
Second Line	:
City	:	BRISTOW
State	:	VA
Zip	:	20136-2201
Country	:	US
Telephone Number	:	571-284-4245
Fax Number	:	571-364-8886

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

Provider Enumeration Date	:	07/14/2006
Last Update Date	:	10/24/2016

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