Active NPI
Brian D Buchanan, MD
- Internal Medicine Physician
- Bedford, VA
National Provider Identifier
1356315980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101032060
- Practice address
- 1710 Whitfield Dr
Bedford, VA 24523-1401 - Phone
- (540) 586-8889
- Fax
- (540) 586-8717
- NPI assigned
- Feb 13, 2006
- Last updated
- Feb 15, 2021
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101032060 | VA | Primary |
Addresses
Primary practice location
1710 Whitfield Dr
Bedford, VA 24523-1401
Mailing address
1710 Whitfield Dr
Bedford, VA 24523-1401
Phone (540) 586-8889
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010015961 | Medicaid | VA | |
| 010109132 | Medicaid | VA | |
| 145692 | Other | VA | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101032060 | VA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Starkey Skin LLC | Current | Accepting new patients | |
| Carilion Healthcare Corporation | Past | Accepting new patients |
Locations
218 W Main St
Salem, VA 24153
Phone (540) 389-0110
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Salem, VA
- NPI 1639410053
-
- Internal Medicine Physician
- Bedford, VA
- NPI 1518075845
-
dba Bridgewater College Student Health Center
- Multi-Specialty Clinic/Center
- Roanoke, VA
- NPI 1447206370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613347200000",
"number": "1356315980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1710 WHITFIELD DR",
"city": "BEDFORD",
"state": "VA",
"postal_code": "245231401",
"telephone_number": "540-586-8889",
"fax_number": "540-586-8717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1710 WHITFIELD DR",
"city": "BEDFORD",
"state": "VA",
"postal_code": "245231401",
"telephone_number": "540-586-8889",
"fax_number": "540-586-8717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCHANAN",
"first_name": "BRIAN",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-13",
"last_updated": "2021-02-15",
"certification_date": "2021-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101032060",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010015961",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010109132",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "145692",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bedford, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.