Organization Active NPI

Lewis Gale Physicians LLC

  • Internal Medicine Physician
  • Salem, VA
National Provider Identifier
1902977705
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
LEWIS GALE PHYSICIANS LLC
Practice address
1802 Braeburn Dr
Salem, VA 24153-7357
Phone
(540) 772-3671
Fax
(540) 725-5067
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Authorized official

Name
Suzanne Bergamo
Title
VP
Phone
(804) 267-5950

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X VA Primary
Durable Medical Equipment & Medical Supplies 332B00000X VA

Addresses

Primary practice location

1802 Braeburn Dr
Salem, VA 24153-7357

Mailing address

2000 Health Park Dr
Brentwood, TN 37027-4692
Phone (615) 373-7406

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051128000164 VA Part B Supplier - Clinic/Group Practice 6507886231 Receives reassigned benefits from 248 practitioners

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations (25 of 33)

3700 S Main St
#1A
Blacksburg, VA 24060
Phone (540) 443-7180

817 Davis St
Ste 1
Blacksburg, VA 24060
Phone (540) 552-3670

3700 S Main St
Ste 140
Blacksburg, VA 24060

825 Davis St
Ste A
Blacksburg, VA 24060
Phone (540) 772-3530

826 Davis St
Blacksburg, VA 24060
Phone (540) 443-0500

801 Davis St
Blacksburg, VA 24060
Phone (540) 961-0218

120 W Main St
Covington, VA 24426
Phone (540) 862-0007

65 Shenandoah Ave
Ste 102
Daleville, VA 24083
Phone (540) 992-5994

65 Shenandoah Ave
Ste 206
Daleville, VA 24083
Phone (540) 966-6438

4550 Lee Hwy
Ste B
Dublin, VA 24084
Phone (540) 674-4560

539 E Nelson St
Lexington, VA 24450
Phone (540) 464-4900

1 Arh Ln
Fl 5
Low Moor, VA 24457
Phone (540) 862-2021

400 Scruggs Rd
Moneta, VA 24121
Phone (540) 444-1240

400 Scruggs Rd
Ste 2100
Moneta, VA 24121
Phone (540) 444-5600

614 E Main St
Ste B
Radford, VA 24141
Phone (540) 731-1600

707 S Jefferson St
Ste 400
Roanoke, VA 24016
Phone (540) 344-3020

4615 Huntridge Rd
Roanoke, VA 24012
Phone (540) 977-0900

4910 Valley View Blvd NW
Fl 3
Roanoke, VA 24012
Phone (540) 265-4210

1315 2nd St SW
Ste 202
Roanoke, VA 24016
Phone (540) 344-3020

707 S Jefferson St
Unit 4
Roanoke, VA 24016
Phone (540) 344-3020

4231 Colonial Ave
#1
Roanoke, VA 24018
Phone (540) 774-6000

4901 Brambleton Ave
Roanoke, VA 24018
Phone (540) 777-4000

5304 Indian Grave Rd
Roanoke, VA 24018
Phone (540) 283-2570

2762 Electric Rd
Ste C
Roanoke, VA 24018
Phone (540) 772-5140

1802 Braeburn Dr
Bldg C
Salem, VA 24153
Phone (540) 772-3815

Practitioners & affiliated clinicians

Practitioners 284

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 284

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763596800000",
    "number": "1902977705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 HEALTH PARK DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274692",
            "telephone_number": "615-373-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 BRAEBURN DR",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241537357",
            "telephone_number": "540-772-3671",
            "fax_number": "540-725-5067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS GALE PHYSICIANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A",
        "authorized_official_last_name": "BERGAMO",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "804-267-5950"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.