Petersburg Urological Associates LTD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

0101019205 Issued in VA

Legal business name

PETERSBURG UROLOGICAL ASSOCIATES LTD

Practice address

430 Clairmont Court
Suite 214
Colonial Heights, VA 23834-1770

Phone

(804) 520-5580

Fax

(804) 520-5583

NPI assigned

Oct 20, 2006

Organization subpart

No

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

Authorized official

Name

H Alan Bigley Jr., MD

Title

President

Phone

(804) 732-7780

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228089600000",
    "number": "1700968393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 CLAIRMONT COURT",
            "address_2": "SUITE 214",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238341770",
            "telephone_number": "804-520-5580",
            "fax_number": "804-520-5583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 CLAIRMONT COURT",
            "address_2": "SUITE 214",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238341770",
            "telephone_number": "804-520-5580",
            "fax_number": "804-520-5583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETERSBURG UROLOGICAL ASSOCIATES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2008-12-01",
        "status": "A",
        "authorized_official_last_name": "BIGLEY",
        "authorized_official_first_name": "H",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-732-7780",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "VA",
            "license": "0101019205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jerreka Peterson, AGACNP
• Pharmacy Plus Inc.
• Shelby Pimm
• Jackie P Pollard, LPC, LMFT, MAC,NCC

• Urology Physician in Colonial Heights, VA
• Providers in Colonial Heights, VA by specialty
• Urology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; 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.