Andrew R Bishop, MD

Individual provider Active NPI Orthopaedic Surgery Physician · Middleburg, VA

NPI 1891807301 · NPPES record last updated Apr 23, 2009

Key facts

NPI
1891807301
Entity type
Individual (NPI type 1)
Primary specialty
Orthopaedic Surgery Physician 207X00000X
License
0101036906 (VA)
Practice address
107 W Federal Street
Suite 9
Middleburg, VA 20118-1036
Phone
(540) 687-3390
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101036906VAMDOrthopaedic Surgery Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 0101036906 VA Yes

Addresses

Primary practice location

107 W Federal Street
Suite 9
Middleburg, VA 20118-1036

Mailing address

PO Box 1036
Middleburg, VA 20118-1036
Phone (540) 687-3390

Other identifiers

IdentifierTypeStateIssuer
58-2315216OtherTAX ID
1891807301MedicaidVA

Other providers in Middleburg, VA

All providers in Middleburg, VA · Orthopaedic Surgery Physician in Virginia

Sources for this page

Verify at the official NPI Registry.