David Lee Tolliver, D.O.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

0102050026 Issued in VA

Practice address

725 S College Ave
Bluefield, VA 24605-1640

Phone

(276) 326-3376

Fax

(276) 326-3046

NPI assigned

Dec 28, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV, VA2 enrollments

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 2

Specialty

Dermatology

Education

West Virginia School of Osteopathic Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integrated Dermatology of Bluefield PLLCGroup PAC ID 6800291360, 12 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

98.3 of 100Reported as group

Promoting interoperability

98

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy, 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.

• Derm One, PLLC

  • Dermatology Physician
  • Bluefield, VA
  • NPI 1053493288

  Dermatology, VA, WV

  Medicare reassignment NPD Authorized official
• Integrated Dermatology of Bluefield, PLLC

  • Dermatology Physician
  • Bluefield, VA
  • NPI 1902474422

  VA, WV

  Medicare reassignment Care Compare group
• Derm One PLLC

  • Dermatology Physician
  • Princeton, WV
  • NPI 1255677555

  Dermatology

  NPD Authorized official

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1831176296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 EXCHANGE CT STE 110",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314450",
            "telephone_number": "561-948-0291",
            "fax_number": "561-859-0429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 S COLLEGE AVE",
            "city": "BLUEFIELD",
            "state": "VA",
            "postal_code": "246051640",
            "telephone_number": "276-326-3376",
            "fax_number": "276-326-3046"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Huffard Dr",
            "address_purpose": "LOCATION",
            "city": "Bluefield",
            "state": "VA",
            "postal_code": "246059209",
            "country_code": "US",
            "telephone_number": "276-326-3376",
            "fax_number": "276-326-3046",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4130 Robert C Byrd Dr",
            "address_purpose": "LOCATION",
            "city": "Beckley",
            "state": "WV",
            "postal_code": "258012206",
            "country_code": "US",
            "telephone_number": "304-425-9435",
            "fax_number": "304-255-9435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOLLIVER",
        "first_name": "DAVID",
        "middle_name": "LEE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0102050026",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WV",
            "license": "1382",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010043565",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tazewell County Board
• Thomas E Brinegar P C
• John Dailey Thompson II, LICSW, MSW
• Emily K Thurston, R.PH.
• William Edward Thurston, R.PH
• Jacenta Trigg
• Jerry Lee Turley Jr., PHARM D
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Ira Ted Webb Jr., PA-C

• Dermatology Physician in Bluefield, VA
• Providers in Bluefield, VA by specialty
• Dermatology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.