DR. SAMUEL T BARTLE M.D. NPI 1780765867

NPI Information

NPI: 1780765867
Provider Name: DR. SAMUEL T BARTLE, M.D.
Classification: Pediatrics - 2080P0204X
Entity Type: Individual

Specialization: Pediatric Emergency Medicine

PECOS Registration: Yes

Address:
1250 E MARSHALL STREET
EMERGENCY MEDICINE
RICHMOND, VA
ZIP 23298
Phone: (804) 828-8707
Get Directions

DR. Samuel T Bartle, M.D. is a pediatric emergency medicine pediatrics in Richmond, VA. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. DR. Samuel T Bartle, M.D. NPI is 1780765867. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1250 E MARSHALL STREET
EMERGENCY MEDICINE
RICHMOND, VA
ZIP 23298-510
Phone: (804) 828-8707
Fax: (804) 827-4998

The NPI 1780765867 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 10/17/2006 and was last updated on 6/26/2008.

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
1	208000000X	Pediatrics		0101227657	VIRGINIA	No
2	2080P0204X	Pediatrics	Pediatric Emergency Medicine	0101227657	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	F95414	MEDICARE UPIN
2	370001186 C05015	MEDICARE ID-TYPE UNSPECIFIED
3	005856302 541581185	MEDICAID	VIRGINIA

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: 4/28/2024

NPI Synchronization or Removal

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