Organization · Type 2 NPI

Centra Medical Group, LLC

Family Medicine Physician · Bedford, VA

NPI number 1295104347 Active

Practice location

1613 Oakwood St, Suite 201
Bedford, VA 24523-1213

Call (540) 586-7273 Map

Mailing address

2010 Atherholt Rd
Lynchburg, VA 24501-1106

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
Internal Medicine Physician	207R00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

33 other providers at this address

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NPI record

NPI: 1295104347
Entity type: Organization (Type 2)
Issued: Sep 18, 2015
Last updated: Sep 18, 2015
Status: Active
Subpart: Yes of Centra Medical Group, LLC

Other names

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Centra Medical Group Bedford · doing business as

Authorized official

Joseph Koons
Managing Director
(434) 200-5047

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1295104347

Centra Medical Group, LLC's National Provider Identifier is 1295104347, issued on Sep 18, 2015. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Bedford, VA. The record was last updated on Sep 18, 2015.