Active NPI
Max Phillip Levine, M.D.
- Vascular Surgery Physician
- Danville, VA
National Provider Identifier
1255330783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 0101048304
- Practice address
- 1037 Main St
Danville, VA 24541-1815 - Phone
- (434) 792-6117
- Fax
- (434) 792-4619
- NPI assigned
- Jul 18, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 0101048304 | VA | Primary |
Addresses
Primary practice location
1037 Main St
Danville, VA 24541-1815
Mailing address
1037 Main St
Danville, VA 24541-1815
Phone (434) 792-6117
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 790573W | Medicaid | NC | |
| 074218 | Other | VA | ANTHEM PROVIDER NUMBER |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101048304 | VA | MD | Vascular Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1255330783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1037 MAIN ST",
"city": "DANVILLE",
"state": "VA",
"postal_code": "245411815",
"telephone_number": "434-792-6117",
"fax_number": "434-792-4619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1037 MAIN ST",
"city": "DANVILLE",
"state": "VA",
"postal_code": "245411815",
"telephone_number": "434-792-6117",
"fax_number": "434-792-4619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVINE",
"first_name": "MAX",
"middle_name": "PHILLIP",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-18",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "VA",
"license": "0101048304",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "790573W",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER NUMBER",
"identifier": "074218",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Danville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.