Active NPI
Bernard F Jamison, M.D.
- Voluntary or Charitable Agency
- Suffolk, VA
National Provider Identifier
1184835175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Voluntary or Charitable Agency
- License
- 0101014020
- Practice address
- 3000 Godwin Blvd
Suffolk, VA 23434-7119 - Phone
- (757) 923-1060
- NPI assigned
- May 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Voluntary or Charitable Agency | 251V00000X | 0101014020 | VA | Primary |
Addresses
Primary practice location
3000 Godwin Blvd
Suffolk, VA 23434-7119
Mailing address
60 Riverside Dr
Smithfield, VA 23430-1627
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0101014020 | VA | MD | Voluntary or Charitable Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184835175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 RIVERSIDE DR",
"city": "SMITHFIELD",
"state": "VA",
"postal_code": "234301627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 GODWIN BLVD",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234347119",
"telephone_number": "757-923-1060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMISON",
"first_name": "BERNARD",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "251V00000X",
"taxonomy_group": "",
"desc": "Voluntary or Charitable",
"state": "VA",
"license": "0101014020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Suffolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.