Individual provider Active NPI

Bickley Craven, MD

  • Family Medicine Physician
  • Big Stone Gap, VA
National Provider Identifier
1083685903
Registry record updated Aug 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101038121 Issued in 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
Last updated
Aug 27, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101038121 VA Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101038121VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Empire Older Citizens, Inc Past Accepting new patients
Mountain Empire Older Citzens Pace Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: bickley.craven.p1@direct.mep.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409097600000",
    "number": "1083685903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 888",
            "city": "BIG STONE GAP",
            "state": "VA",
            "postal_code": "242190888",
            "telephone_number": "276-523-0599",
            "fax_number": "276-523-6480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 3RD AVE E",
            "city": "BIG STONE GAP",
            "state": "VA",
            "postal_code": "242193115",
            "telephone_number": "276-523-0599",
            "fax_number": "276-523-6480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAVEN",
        "first_name": "BICKLEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2014-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101038121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Stone Gap, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.