Edward Sanford Purvis II, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

0101053990 Issued in VA

Practice address

2232 Wilborn Avenue
Physicians Pavilion
South Boston, VA 24592-2936

Phone

(434) 517-0233

NPI assigned

Jul 14, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Edward S Purvis II MD PC

  • Specialist
  • South Boston, VA
  • NPI 1265458392
  NPD (past) Authorized official
• Dominion Health Medical Assoc.

  • Ambulatory Surgical Clinic/Center
  • South Boston, VA
  • NPI 1255771770
  NPD
• Dominion Health Medical Assoc.

  • Orthopaedic Surgery Physician
  • South Boston, VA
  • NPI 1306150545
  NPD
• Halifax Heart Center PC

  • Specialist
  • South Boston, VA
  • NPI 1881700169
  NPD (past)

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532476800000",
    "number": "1811996648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 860",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245920860",
            "telephone_number": "434-517-3590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2232 WILBORN AVENUE",
            "address_2": "PHYSICIANS PAVILION",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245922936",
            "telephone_number": "434-517-0233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURVIS",
        "first_name": "EDWARD",
        "middle_name": "SANFORD",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2018-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101053990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007313501",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA",
            "identifier": "104303",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC BS",
            "identifier": "462169",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00038731",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James H Priest
• Grace A. Prudom, LCSW
• Ronald Pryor
• Lovetta Pugh, MD
• Pulmonary Associates of Southside Virginia, Inc
• Kortney Nicole Puryear, COTA/L
• RB Hughes Drug Inc
• Reflections Behavioral Health Services LLC
• Reliacare Transport LLC
• Renal Care Group of the South, Inc.

• Surgery Physician in South Boston, VA
• Providers in South Boston, VA by specialty
• Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.