Individual provider Active NPI

Brigitte K Rotche, M.D.

  • Pediatrics Physician
  • Radford, VA
National Provider Identifier
1124082318
Registry record updated Aug 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101225941 Issued in VA
Practice address
200 8TH St
Radford, VA 24141-2426
Phone
(540) 639-5188
Fax
(540) 639-9215
NPI assigned
Apr 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0101225941 VA Primary

Addresses

Primary practice location

200 8TH St
Radford, VA 24141-2426

Mailing address

200 8TH St
Radford, VA 24141-2426
Phone (540) 639-5188

Other identifiers 1

IdentifierTypeStateIssuer
010252628MedicaidVA

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101225941VAMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344470400000",
    "number": "1124082318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 8TH ST",
            "city": "RADFORD",
            "state": "VA",
            "postal_code": "241412426",
            "telephone_number": "540-639-5188",
            "fax_number": "540-639-9215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 8TH ST",
            "city": "RADFORD",
            "state": "VA",
            "postal_code": "241412426",
            "telephone_number": "540-639-5188",
            "fax_number": "540-639-9215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTCHE",
        "first_name": "BRIGITTE",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-14",
        "last_updated": "2012-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101225941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010252628",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Radford, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; 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.