NPIMap

Organization Active NPI

Family Practice Associates, Inc.

  • Family Medicine Physician
  • Frankiln, VA
National Provider Identifier
1609816164
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101022437 Issued in VA
Legal business name
FAMILY PRACTICE ASSOCIATES, INC.
Practice address
102 Fairview Dr.
Suite B
Frankiln, VA 23851-1206
Phone
(757) 562-2158
Fax
(757) 562-2134
NPI assigned
Jun 6, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Glenn Porter Bidwell Jr., M.D.
Title
President/Physican
Phone
(757) 562-2158

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101022437 VA Primary

Addresses

Primary practice location

102 Fairview Dr.
Suite B
Frankiln, VA 23851-1206

Mailing address

102 Fairview Dr.
Suite B
Frankiln, VA 23851-1206
Phone (757) 562-2158

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609816164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 FAIRVIEW DR.",
            "address_2": "SUITE B",
            "city": "FRANKILN",
            "state": "VA",
            "postal_code": "238511206",
            "telephone_number": "757-562-2158",
            "fax_number": "757-562-2134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 FAIRVIEW DR.",
            "address_2": "SUITE B",
            "city": "FRANKILN",
            "state": "VA",
            "postal_code": "238511206",
            "telephone_number": "757-562-2158",
            "fax_number": "757-562-2134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PRACTICE ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BIDWELL",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "PORTER",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICAN",
        "authorized_official_telephone_number": "757-562-2158",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101022437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.