Barbara Dotson-Brooner

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Bridgewater, VA

NPI 1669847471 · NPPES record last updated Dec 4, 2015

Key facts

NPI
1669847471
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
109 Nover Dr
Bridgewater, VA 22812-1012
Phone
(540) 828-3547
NPI assigned
Dec 4, 2015
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

109 Nover Dr
Bridgewater, VA 22812-1012

Mailing address

109 Nover Dr
Bridgewater, VA 22812-1012
Phone (540) 828-3547

Other providers in Bridgewater, VA

All providers in Bridgewater, VA · Student in an Organized Health Care Education/Training Program in Virginia

Sources for this page

Verify at the official NPI Registry.