| Middlebrook Family Medicine Plc | |
|
36 Cherry Grove Road Middlebrook VA 24459 | |
| (540) 887-2627 | |
| (540) 886-2726 |
| Full Name | Middlebrook Family Medicine Plc |
|---|---|
| Speciality | Family Medicine |
| Location | 36 Cherry Grove Road, Middlebrook, Virginia |
| Authorized Official Name and Position | John O Marsh (OWNER) |
| Authorized Official Contact | 5408872627 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Middlebrook Family Medicine Plc Po Box 90 Middlebrook VA 24459-0090 Ph: (540) 887-2627 | Middlebrook Family Medicine Plc 36 Cherry Grove Road Middlebrook VA 24459 Ph: (540) 887-2627 |
| NPI Number | 1023346780 |
|---|---|
| Provider Enumeration Date | 11/18/2009 |
| Last Update Date | 02/03/2010 |
| Medicare PECOS PAC ID | 2264574870 |
|---|---|
| Medicare Enrollment ID | O20100120000546 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023346780 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Rosella O Burgdorf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922028430 PECOS PAC ID: 0143242800 Enrollment ID: I20051221000714 |
| Provider Name | John Otho Marsh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619997566 PECOS PAC ID: 8426061979 Enrollment ID: I20060728000297 |