Renaissance Medical Center

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

RENAISSANCE MEDICAL CENTER

Doing business as

Renaissance Medical Care

Practice address

284 Blevins Blvd
Bristol, VA 24202-5977

Phone

(276) 285-3911

NPI assigned

Apr 10, 2019

Last updated

Jun 24, 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

Linda Debord

Title

Office Manager

Phone

(276) 285-3911

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Renaissance Medical Care Doing business as
• RMC Other name

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561334400000",
    "number": "1649733387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 BLEVINS BLVD",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242025977",
            "telephone_number": "276-285-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "284 BLEVINS BLVD",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242025977",
            "telephone_number": "276-285-3911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-10",
        "last_updated": "2019-06-24",
        "status": "A",
        "authorized_official_last_name": "DEBORD",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "276-285-3911"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0101249115",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renaissance Medical Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RMC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• 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 Care
• Taylor E Repko, OD
• Resilient Medical Transport LLC
• Restorative Mind Counseling, PLLC
• Revive Continuum
• Rhapsody ABA Therapy, LLC

• 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 Jun 24, 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.