Individual provider Active NPI

James Graham Bittner IV, MD

  • Surgery Physician
  • Suffolk, VA
National Provider Identifier
1215058870
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0101252146 Issued in VA
Practice address
2790 Godwin Blvd Ste 305
Suffolk, VA 23434-8158
Phone
(757) 934-4222
Fax
(757) 934-4111
NPI assigned
Apr 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0101252146 VA Primary

Addresses

Primary practice location

2790 Godwin Blvd Ste 305
Suffolk, VA 23434-8158

Mailing address

2790 Godwin Blvd Ste 305
Suffolk, VA 23434-8158
Phone (757) 934-4222

Other practice location 1

1250 E Marshall St
Surgery
Richmond, VA 23298-5051
Phone (804) 828-4901

Other names 1

  • James G Bittner IV Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, CT2 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
I20120809000364 VA Practitioner - General Surgery 2163609488 Reassigns benefits to 2 organizations
I20190227001539 CT Practitioner - General Surgery 2163609488 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Cincinnati College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sentara Medical Group 1,396 clinicians

Practice addresses (Care Compare)

2790 Godwin Blvd
Suite 305
Suffolk, VA 23434-8158
Phone (757) 934-4222

Hospital & facility affiliations

  • Sentara Obici Hospital Hospital, Suffolk, VA, CCN 490044
  • Sentara Norfolk General Hospital Hospital, Norfolk, VA, CCN 490007

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux16
Removal of tissue1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group CurrentSince Aug 1, 2023 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC Surgery CurrentSince Aug 24, 2023 Accepting new patients
Bristol Hospital Multi Specialty Group, Inc Surgery CurrentSince May 16, 2019 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Feb 25, 2019 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Aug 24, 2023 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Feb 25, 2019 Accepting new patients
MCV Associated Physicians PastSince Sep 28, 2021 Accepting new patients

Locations

1300 Hall Blvd
Fl 3
Bloomfield, CT 06002
Phone (860) 714-2376

41 Brewster Rd
Bristol, CT 06010
Phone (800) 585-3000

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

1000 Asylum Ave
Ste 4302
West Hartford, CT 06105
Phone (860) 714-4270

8262 Atlee Rd
Ste 205
Mechanicsvlle, VA 23116
Phone (804) 559-0194

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

1510 N 28th St
Ste 110
Richmond, VA 23223
Phone (804) 545-2304

2006 Health Campus Dr
Ste 200
Rockingham, VA 22801
Phone (540) 689-5555

2790 Godwin Blvd
Ste 305
Suffolk, VA 23434
Phone (757) 934-4222

Organizations & group practices 9

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1215058870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 GODWIN BLVD STE 305",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348158",
            "telephone_number": "757-934-4222",
            "fax_number": "757-934-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 GODWIN BLVD STE 305",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348158",
            "telephone_number": "757-934-4222",
            "fax_number": "757-934-4111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 E Marshall St",
            "address_2": "Surgery",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232985051",
            "country_code": "US",
            "telephone_number": "804-828-4901",
            "fax_number": "804-828-0191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BITTNER",
        "first_name": "JAMES",
        "middle_name": "GRAHAM",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101252146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMES",
            "last_name": "BITTNER",
            "middle_name": "G",
            "suffix": "IV",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.