Brad Thomas Siegmund, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

0101034642 Issued in VA

Practice address

200 Medical Park Blvd
Petersburg, VA 23805-9274

Phone

(804) 862-5010

NPI assigned

Jan 30, 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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

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.

• Petersburg Clinic Company LLC

  • Family Medicine Physician
  • Petersburg, VA
  • NPI 1881643617
  NPD (past)
• Virginia Palliative Partners, LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Richmond, VA
  • NPI 1881007441
  NPD (past)

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368403200000",
    "number": "1932170909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36559",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232358011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL PARK BLVD",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238059274",
            "telephone_number": "804-862-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGMUND",
        "first_name": "BRAD",
        "middle_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2013-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "VA",
            "license": "0101034642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01155111",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932170909",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shalom Healing Services
• India Marie Shaw
• Daniel Paul Sheneman, MD
• Frank F Shieh, MD
• Patrice Nicole Shuford
• Joseph W Siko Jr., DPM
• Silvers Surgical Associates LLC
• Kenneth Silvers, CSA
• Iana Jenniek Simmons
• Thresa Helen Simon, M.D.

• Anatomic Pathology & Clinical Pathology Physician in Petersburg, VA
• Providers in Petersburg, VA by specialty
• Anatomic Pathology & Clinical Pathology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.