Bellgrade Medical

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0102032395 Issued in VA

Legal business name

BELLGRADE MEDICAL

Practice address

2621 Promenade Pkwy Ste 101
Midlothian, VA 23113-4905

Phone

(804) 897-3746

NPI assigned

Jan 26, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Peter Gent

Title

President

Phone

(804) 598-4799

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bellgrade Medical, LLC Doing business as

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

{
    "created_epoch": "1516924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522800000000",
    "number": "1326546151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 PROMENADE PKWY STE 101",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231134905",
            "telephone_number": "804-897-3746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 PROMENADE PKWY STE 101",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231134905",
            "telephone_number": "804-897-3746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLGRADE MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-26",
        "last_updated": "2018-04-04",
        "status": "A",
        "authorized_official_last_name": "GENT",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-598-4799",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102032395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "0102032395",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bellgrade Medical, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bellgrade Medical, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph Thomas Beckworth, MD
• Grace Allison Beers, PA-C
• Kari Beganie, LCSW
• Patricia Lea Bell, NP
• Bellgrade Dental Center PLC
• Beltrami, Dixon and Woodard DDS PC
• Joyce E Beltran-Keeling, M.D.
• Benchmark Physical Therapy of VA, LLC
• Stephen Howard Bendheim, MD
• Fletcher K Bennett-Gayle, P.A.-C

• All providers in Midlothian, VA
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2018; 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.