Organization Active NPI

David B. Stoeckle, M.D., P.a., P.C.

  • Surgery Physician
  • Blacksburg, VA
National Provider Identifier
1376737262
Registry record updated Sep 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0101029405 Issued in VA
Legal business name
DAVID B. STOECKLE, M.D., P.A., P.C.
Practice address
820 Hospital Dr
Blacksburg, VA 24060-7023
Phone
(540) 552-0005
Fax
(540) 951-2215
NPI assigned
Sep 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2007

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

Authorized official

Name
Dr. David Bruce Stoeckle, M.D.NPI 1679671911
Title
President
Phone
(540) 552-0005

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
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 0101029405 VA Primary

Addresses

Primary practice location

820 Hospital Dr
Blacksburg, VA 24060-7023

Mailing address

820 Hospital Dr
Blacksburg, VA 24060-7023
Phone (540) 552-0005

Other identifiers 1

IdentifierTypeStateIssuer
7321643MedicaidVA

Other names 1

  • New River Surgical Associates Doing business as

National Provider Directory

National Provider Directory

Locations

820 Hospital Dr
Blacksburg, VA 24060
Phone (540) 552-0005

Practitioners & affiliated clinicians

Practitioners 2

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": "1188864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188864000000",
    "number": "1376737262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 HOSPITAL DR",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240607023",
            "telephone_number": "540-552-0005",
            "fax_number": "540-951-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 HOSPITAL DR",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240607023",
            "telephone_number": "540-552-0005",
            "fax_number": "540-951-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID B. STOECKLE, M.D., P.A., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-04",
        "last_updated": "2007-09-04",
        "status": "A",
        "authorized_official_last_name": "STOECKLE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-552-0005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101029405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7321643",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New River Surgical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blacksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; 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.