Northwest Hanover Physicians LTD

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

NORTHWEST HANOVER PHYSICIANS LTD

Doing business as

Beaverdam Family Medicine

Practice address

5416 Hillshire Way
Glen Allen, VA 23059-7143

Phone

(804) 360-1875

NPI assigned

Feb 25, 2021

Last updated

Feb 25, 2021By 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

Dr. Brian Christopher Bittner, MDNPI 1215963715

Title

President

Phone

(804) 360-1875

Specialties & licenses 1

Addresses

Other names 1

• Beaverdam Family Medicine Doing business as

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.

• Brian C. Bittner, M.D.

  • Family Medicine Physician
  • Glen Allen, VA
  • NPI 1215963715
  NPD Authorized official

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

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614211200000",
    "number": "1720672280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5416 HILLSHIRE WAY",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230597143",
            "telephone_number": "804-360-1875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5416 HILLSHIRE WAY",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230597143",
            "telephone_number": "804-360-1875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST HANOVER PHYSICIANS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-25",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A",
        "authorized_official_last_name": "BITTNER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-360-1875",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beaverdam Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinton Joseph Norris III, DDS
• Britney Ann Northrop, BCBA
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• Margaret A. Nuckols-Currence, SLP

• Health Service Clinic/Center in Glen Allen, VA
• Providers in Glen Allen, VA by specialty
• Health Service Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; 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.