Active NPI
Lewis Gale Physicians LLC
- Internal Medicine Physician
- Salem, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051128000164 | VA | Part B Supplier - Clinic/Group Practice | 6507886231 | Receives reassigned benefits from 248 practitioners |
National Provider Directory
National Provider DirectoryMember 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.
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.