Renaissance Medical Care

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

RENAISSANCE MEDICAL CARE

Practice address

284 Blevins Boulevard
Bristol, VA 24202

Phone

(276) 285-3911

Fax

(276) 285-3920

NPI assigned

Dec 7, 2017

Last updated

Mar 25, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

George Oliver Halstead, M.D.NPI 1942593603

Title

President

Phone

(276) 285-3911

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• George Oliver Halstead, M.D.

  • General Practice Physician
  • Abingdon, VA
  • NPI 1942593603

  Addiction Medicine

  NPD (past) Authorized official

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

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553472000000",
    "number": "1568977940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 BLEVINS BOULEVARD",
            "city": "BRISTOL",
            "state": "VT",
            "postal_code": "24202",
            "telephone_number": "276-285-3911",
            "fax_number": "276-285-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "284 BLEVINS BOULEVARD",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "24202",
            "telephone_number": "276-285-3911",
            "fax_number": "276-285-3920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE MEDICAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-07",
        "last_updated": "2019-03-25",
        "status": "A",
        "authorized_official_last_name": "HALSTEAD",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "OLIVER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "276-285-3911",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gracelyn K Ralston, STUDENT NURSE TECH
• Brady Bernard Ratliff, PHARMD
• Anna Jolene Reed, LPC-MHSP
• Rehabilitation Hospital of Bristol, LLC (Rehab Hosp of Bristol, a JV of Ballad Health and Encompass Health)
• Shelbi L Releford, DPT
• Renaissance Medical Center (Renaissance Medical Care)
• Taylor E Repko, OD
• Resilient Medical Transport LLC
• Restorative Mind Counseling, PLLC
• Revive Continuum

• General Practice Physician in Bristol, VA
• Providers in Bristol, VA by specialty
• General Practice Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; 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.