| James River Internists Llc | |
|
13440 Tredegar Lake Pkwy Bldg 2 Midlothian VA 23112-4070 | |
| (804) 745-2200 | |
| Not Available |
| Full Name | James River Internists Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 13440 Tredegar Lake Pkwy Bldg 2, Midlothian, Virginia |
| Authorized Official Name and Position | Louis Joseph (VP) |
| Authorized Official Contact | 6153737630 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James River Internists Llc 2000 Health Park Dr Ste 103 Brentwood TN 37027-4692 Ph: (615) 372-7600 | James River Internists Llc 13440 Tredegar Lake Pkwy Bldg 2 Midlothian VA 23112-4070 Ph: (804) 745-2200 |
| NPI Number | 1568409100 |
|---|---|
| Provider Enumeration Date | 06/01/2006 |
| Last Update Date | 01/02/2023 |
| Medicare PECOS PAC ID | 8426056839 |
|---|---|
| Medicare Enrollment ID | O20061120000225 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568409100 | NPI | - | NPPES |
| 1568409100 | Other | VA | RR MEDICARE |
| 1568409100 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Brian Thomas Bradshaw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033194774 PECOS PAC ID: 4385642719 Enrollment ID: I20061120000360 |
| Provider Name | Kenneth R Stringer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225013592 PECOS PAC ID: 4789682634 Enrollment ID: I20061201000270 |
| Provider Name | Anna Vedina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801093281 PECOS PAC ID: 3375669344 Enrollment ID: I20100927001482 |
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