BLACKSBURG PEDIATRICS PLC NPI 1548719859

NPI Information

  • NPI: 1548719859
  • Provider Name: BLACKSBURG PEDIATRICS, PLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • CLIA Number: 49D1058168
  • Address: 817 DAVIS ST
    SUITE A
    BLACKSBURG, VA
    ZIP 24060
  • Phone: (540) 443-3940

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NPI Details

BLACKSBURG PEDIATRICS, PLC is a primary care clinic center in Blacksburg, VA. BLACKSBURG PEDIATRICS, PLC NPI is 1548719859. The provider is registered as an organization entity type.

The provider's business location address is:

817 DAVIS ST
SUITE A
BLACKSBURG, VA
ZIP 24060-004
Phone: (540) 443-3940
Fax: (540) 443-3944

The provider's authorized official is David Edwin Berry .
The authorized official title is Manager and has the following contact phone number (540) 443-3940.

The CLIA number assigned to this NPI record is 49D1058168 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/27/2016 and was last updated on 9/27/2016.

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
1261QP2300XClinic/CenterPrimary Care0102052848VIRGINIAYes

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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