BERNICE GRANT LATHAM MD NPI 1790798544

NPI Information

  • NPI: 1790798544
  • Provider Name: BERNICE GRANT LATHAM, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 505 W LEIGH ST
    SUITE 301
    RICHMOND, VA
    ZIP 23220
  • Phone: (804) 780-3008

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NPI Details

Bernice Grant Latham, MD is a family medicine in Richmond, VA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Bernice Grant Latham, MD NPI is 1790798544. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

505 W LEIGH ST
SUITE 301
RICHMOND, VA
ZIP 23220-200
Phone: (804) 780-3008
Fax: (804) 780-3014

The enumeration date for this NPI number is 8/14/2006 and was last updated on 12/13/2010.

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 Medicine0101023261VIRGINIAYes

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 Other Provider Identifier Issuer
15671051MEDICAIDVIRGINIA
2D74314MEDICARE UPIN
3082936518MEDICARE PINVIRGINIA

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: 3/30/2025

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