Commonwealth Obstetrics Gynecology PC

Organization Active NPI Obstetrics & Gynecology Physician · Warrenton, VA

NPI 1457547994 · NPPES record last updated May 19, 2011

Key facts

NPI
1457547994
Entity type
Organization (NPI type 2)
Primary specialty
Obstetrics & Gynecology Physician 207V00000X
License
0101049349 (VA)
Legal business name
COMMONWEALTH OBSTETRICS GYNECOLOGY PC
Practice address
428 Hospital Dr
Warrenton, VA 20186-3026
Phone
(540) 349-0100
Fax
(540) 349-4401
NPI assigned
Sep 19, 2007
Organization subpart
No

Authorized official

Name
Jeffrey Walton Bell, MD
Title
President
Phone
(540) 349-0100

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207V00000X 0101049349 VA Yes

Addresses

Primary practice location

428 Hospital Dr
Warrenton, VA 20186-3026

Mailing address

428 Hospital Dr
Warrenton, VA 20186-3026
Phone (540) 349-0100

Other identifiers

IdentifierTypeStateIssuer
1336118553OtherVATYPE 1 NPI
204531OtherVAANTHEM
1043356132OtherTYPE 1 NPI
417859OtherVAMAMSI HEALTH PLANS
006211551MedicaidVA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 19, 2011.

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305763200000",
    "number": "1457547994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 HOSPITAL DR",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201863026",
            "telephone_number": "540-349-0100",
            "fax_number": "540-349-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 HOSPITAL DR",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201863026",
            "telephone_number": "540-349-0100",
            "fax_number": "540-349-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH OBSTETRICS GYNECOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2011-05-19",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "WALTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-349-0100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101049349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1336118553",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "204531",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1043356132",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI HEALTH PLANS",
            "identifier": "417859",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006211551",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrenton, VA

All providers in Warrenton, VA · Obstetrics & Gynecology Physician in Virginia

Sources for this page

Verify at the official NPI Registry.