Organization Active NPI

Seven Hills Dermatology, LLC

  • Dermatology Physician
  • Lynchburg, VA
National Provider Identifier
1336697093
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0102202740 Issued in VA
Legal business name
SEVEN HILLS DERMATOLOGY, LLC
Practice address
119 Tradewynd Dr Ste a
Lynchburg, VA 24502-5288
Phone
(434) 237-3376
Fax
(434) 237-3330
NPI assigned
Sep 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Authorized official

Name
Dr. Garrett R Bohrnstedt, DONPI 1699904052
Title
President
Phone
(434) 237-3376

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 0102202740 VA Primary

Addresses

Primary practice location

119 Tradewynd Dr Ste a
Lynchburg, VA 24502-5288

Mailing address

119 Tradewynd Dr Ste a
Lynchburg, VA 24502-5288
Phone (434) 237-3376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170125001764 VA Part B Supplier - Clinic/Group Practice 6406138585 Receives reassigned benefits from 3 practitioners
Practice locations: Lynchburg, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2123360Seven Hills Dermatology, LLC119A Tradewynd Drive, Lynchburg, VA 24502Provider-performed microscopyMay 23, 2027

National Provider Directory

National Provider Directory

Locations

2095 Langhorne Rd
Lynchburg, VA 24501
Phone (434) 237-3376

2095 Langhorne Rd
Lowr
Lynchburg, VA 24501

119 Tradewynd Dr
Ste A
Lynchburg, VA 24502
Phone (434) 237-3376

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1473638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643760000000",
    "number": "1336697093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 TRADEWYND DR STE A",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245025288",
            "telephone_number": "434-237-3376",
            "fax_number": "434-237-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 TRADEWYND DR STE A",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245025288",
            "telephone_number": "434-237-3376",
            "fax_number": "434-237-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEVEN HILLS DERMATOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-12",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A",
        "authorized_official_last_name": "BOHRNSTEDT",
        "authorized_official_first_name": "GARRETT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "434-237-3376",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0102202740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.