Individual provider Active NPI

David W Hale Jr., DO

  • Emergency Medicine Physician
  • Abingdon, VA
National Provider Identifier
1124139993
Registry record updated Jul 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0102201268 Issued in VA
Practice address
351 Court St
Abingdon, VA 24210-2921
Phone
(276) 676-7000
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0102201268 VA Primary

Addresses

Primary practice location

351 Court St
Abingdon, VA 24210-2921

Mailing address

16341 Brumley Gap Rd
Abingdon, VA 24210-4365
Phone (276) 492-1759

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040323001675 VA Practitioner - Emergency Medicine 5395636898 Reassigns benefits to 1 organization
I20131001000351 TN Practitioner - Emergency Medicine 5395636898 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
West Virginia School of Osteopathic Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri-Cities Regional Emergency Physicians, PCGroup PAC ID 3678859477, 118 clinicians

Practice addresses (Care Compare)

2000 Brookside Dr
Kingsport, TN 37660-4627
Phone (423) 857-7000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0102201268VAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Tri-Cities Regional Emergency Physicians, PC Emergency Medicine CurrentSince Mar 22, 2017 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Feb 13, 2016 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Feb 13, 2016 Accepting new patients
Epmg of Michigan, P.C. Emergency Medicine PastSince Aug 4, 2024 Accepting new patients
Johnston Memorial Hospital Past Accepting new patients

Locations

1501 W Elk Ave
Elizabethton, TN 37643
Phone (423) 542-1300

400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310

2000 Brookside Dr
Kingsport, TN 37660
Phone (423) 857-7144

323 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-2612

100 15th St NW
Norton, VA 24273
Phone (276) 439-1000

100 15th St NW
Ste A
Norton, VA 24273
Phone (276) 439-1840

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406246400000",
    "number": "1124139993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16341 BRUMLEY GAP RD",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242104365",
            "telephone_number": "276-492-1759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 COURT ST",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242102921",
            "telephone_number": "276-676-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALE",
        "first_name": "DAVID",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2014-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0102201268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abingdon, VA

Sources for this page

Verify at the official NPI Registry.