Organization Active NPI

Middlebrook Family Medicine PLC

  • Family Medicine Physician
  • Middlebrook, VA
National Provider Identifier
1023346780
Registry record updated Feb 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MIDDLEBROOK FAMILY MEDICINE PLC
Practice address
36 Cherry Grove Road
Middlebrook, VA 24459
Phone
(540) 887-2627
Fax
(540) 886-2726
NPI assigned
Nov 18, 2009
Last updated
Feb 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
John O Marsh, MDNPI 1619997566
Title
Owner
Phone
(540) 887-2627

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

36 Cherry Grove Road
Middlebrook, VA 24459

Mailing address

PO Box 90
Middlebrook, VA 24459-0090
Phone (540) 887-2627

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100120000546 VA Part B Supplier - Clinic/Group Practice 2264574870 Receives reassigned benefits from 2 practitioners
Practice locations: Middlebrook, VA; Raphine, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D0920376Middlebrook Family Medicine36 Cherry Grove Road, Middlebrook, VA 24459Provider-performed microscopyAug 21, 2027

National Provider Directory

National Provider Directory

Locations

25 Commerce Park Dr
Raphine, VA 24472
Phone (540) 490-2527

60 Commerce Park Dr
Raphine, VA 24472
Phone (540) 490-2527

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265155200000",
    "number": "1023346780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90",
            "city": "MIDDLEBROOK",
            "state": "VA",
            "postal_code": "244590090",
            "telephone_number": "540-887-2627",
            "fax_number": "540-886-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 CHERRY GROVE ROAD",
            "city": "MIDDLEBROOK",
            "state": "VA",
            "postal_code": "24459",
            "telephone_number": "540-887-2627",
            "fax_number": "540-886-2726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLEBROOK FAMILY MEDICINE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-18",
        "last_updated": "2010-02-03",
        "status": "A",
        "authorized_official_last_name": "MARSH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-887-2627",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlebrook, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.