Active NPI
Premier Telehealth Solutions PLLC
- Internal Medicine Physician
- Roanoke, VA
National Provider Identifier
1114799590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- PREMIER TELEHEALTH SOLUTIONS PLLC
- Practice address
- 6701 Peters Creek Rd Ste 110
Roanoke, VA 24019-4060 - Phone
- (800) 765-7130
- Fax
- (888) 500-1891
- NPI assigned
- Oct 27, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bradley Goad, DO
- Title
- Director
- Phone
- (540) 488-2200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
6701 Peters Creek Rd Ste 110
Roanoke, VA 24019-4060
Mailing address
6701 Peters Creek Rd Ste 110
Roanoke, VA 24019-4060
Phone (800) 765-7130
National Provider Directory
National Provider DirectoryLocations
6701 Peters Creek Rd
Ste 110
Roanoke, VA 24019
Phone (800) 765-7130
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698364800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698364800000",
"number": "1114799590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6701 PETERS CREEK RD STE 110",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240194060",
"telephone_number": "800-765-7130",
"fax_number": "888-500-1891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6701 PETERS CREEK RD STE 110",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240194060",
"telephone_number": "800-765-7130",
"fax_number": "888-500-1891"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER TELEHEALTH SOLUTIONS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-27",
"last_updated": "2023-10-27",
"certification_date": "2023-10-27",
"status": "A",
"authorized_official_last_name": "GOAD",
"authorized_official_first_name": "BRADLEY",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "540-488-2200",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.