Bickley Craven, MD
Individual provider Active NPI Family Medicine Physician · Big Stone Gap, VA
NPI 1083685903 · NPPES record last updated Aug 27, 2014
Key facts
- NPI
- 1083685903
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 0101038121 (VA)
- Practice address
- 1501 3Rd Ave E
Big Stone Gap, VA 24219-3115 - Phone
- (276) 523-0599
- Fax
- (276) 523-6480
- NPI assigned
- Jan 30, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101038121 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain Empire Older Citizens, Inc | Past | Accepting new patients | |
| Mountain Empire Older Citzens Pace | Past | Accepting new patients |
Interoperability endpoints
- bickley.craven.p1@direct.mep.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101038121 | VA | Yes |
Addresses
Primary practice location
1501 3Rd Ave E
Big Stone Gap, VA 24219-3115
Mailing address
PO Box 888
Big Stone Gap, VA 24219-0888
Phone (276) 523-0599
Other providers in Big Stone Gap, VA
- Carla C Cornett
- Beth Sherwood Couch
- Charolette Roxann Cox
- Jennifer Mae Cox
- Kathy Diann Craft
- Sandra Crawford
- Joshua Heath Dalton
- Joan M Daniel
- Elizabeth K Davenport
- Karen Ruth Davis
All providers in Big Stone Gap, VA · Family Medicine Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.