Dane C McBride, MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

0101038172 Issued in VA

Practice address

1505 Franklin Rd SW
Roanoke, VA 24016-5206

Phone

(540) 343-7331

Fax

(540) 343-7349

NPI assigned

Mar 9, 2006

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 1

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Allergy & Immunology, PLC

  • Allergy & Immunology Physician
  • Roanoke, VA
  • NPI 1457423550

  Allergy & Immunology, VA

  Medicare reassignment NPD
• Allergy & Immunology VA, LLC

  • Allergy & Immunology Physician
  • Roanoke, VA
  • NPI 1609707488

  Allergy & Immunology

  NPD (past)

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190332800000",
    "number": "1831167501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 FRANKLIN RD SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240165206",
            "telephone_number": "540-343-7331",
            "fax_number": "540-343-7349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 FRANKLIN RD SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240165206",
            "telephone_number": "540-343-7331",
            "fax_number": "540-343-7349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBRIDE",
        "first_name": "DANE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2007-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "VA",
            "license": "0101038172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7604068",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mazen Madhoun MD LLC
• Bethany Mazurek, BCBA/LBA
• Concilia Mbawuike, CNP
• MBK Residential Services LLC
• Kelly McAllister
• Mark A McBride, M.D.
• Niya L McCaden
• Grace Chung-Yee McCarthy, M.D.
• Celia Lea McCauley-Wittl, DNP, FNP-BC, PMHNP
• Jillian McCay, MA.ED, LPC

• All providers in Roanoke, VA
• Allergy & Immunology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; 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.