Individual provider Active NPI

M Stephen Mandell Jr., M.D.

  • Internal Medicine Physician
  • Bowling Green, VA
National Provider Identifier
1548252273
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101034535 Issued in VA
Practice address
121 Courthouse LN
Bowling Green, VA 22427-9336
Phone
(804) 633-5840
Fax
(804) 633-4438
NPI assigned
Aug 18, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101034535 VA Primary

Addresses

Primary practice location

121 Courthouse LN
Bowling Green, VA 22427-9336

Mailing address

PO Box 450
Bowling Green, VA 22427-0450
Phone (804) 633-5840

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091221000051 VA Practitioner - Internal Medicine 7012057227 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101034535VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Washington Hospital, Inc. CurrentSince Oct 25, 2009 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Nov 1, 2017 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Nov 1, 2017 Accepting new patients
Mary Washington Hospital Inc. CurrentSince Oct 25, 2009 Accepting new patients

Locations

121 Courthouse Ln
Bowling Green, VA 22427
Phone (804) 633-1232

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

Interoperability endpoints

  • Direct secure messaging: mstephenmandell@vpca.allscriptsdirect.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1548252273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 450",
            "city": "BOWLING GREEN",
            "state": "VA",
            "postal_code": "224270450",
            "telephone_number": "804-633-5840",
            "fax_number": "804-633-4438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 COURTHOUSE LN",
            "city": "BOWLING GREEN",
            "state": "VA",
            "postal_code": "224279336",
            "telephone_number": "804-633-5840",
            "fax_number": "804-633-4438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDELL",
        "first_name": "M STEPHEN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101034535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, VA

Sources for this page

Verify at the official NPI Registry.