MR. LEVI JAMES BAUER NPI 1053024232

NPI Information

  • NPI: 1053024232
  • Provider Name: MR. LEVI JAMES BAUER
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1600 GRANBY ST APT 460
    NORFOLK, VA
    ZIP 23510
  • Phone: (407) 756-5069

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NPI Details

MR. Levi James Bauer is a student in an organized health care education training program in Norfolk, VA with 3 years of experience. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. MR. Levi James Bauer NPI is 1053024232. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: EASTERN VIRGINIA MEDICAL SCHOOL
Graduation Year:2023

The provider's business location address is:

1600 GRANBY ST APT 460
NORFOLK, VA
ZIP 23510-662
Phone: (407) 756-5069

The NPI 1053024232 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/3/2023 and was last updated on 12/19/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine0110009378VIRGINIANo
2390200000XStudent in an Organized Health Care Education/Training ProgramYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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