NPIMap

Individual provider Active NPI

Randall T Bashore, MD

  • Internal Medicine Physician
  • New Canton, VA
National Provider Identifier
1992783286
Registry record updated Jul 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101035538 Issued in VA
Practice address
25892 N. James Madison Hwy
New Canton, VA 23123-0220
Phone
(434) 581-3271
Fax
(434) 581-1105
NPI assigned
Jan 6, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 5

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.

Owned or controlled facilities with NPI records 19

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 19

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060328000062 VA Practitioner - Internal MedicinePractitioner - Geriatric Medicine 1254249345 Reassigns benefits to 2 organizations

All facility ownership & control disclosures 19

Medicare enrollment files

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
King William Dawn Community DoctorsAylett, VA, CCN 491822 Federally qualified health center W-2 Managing Employee Jul 8, 1985
CVHS Southern AlbemarleEsmont, VA, CCN 491820 Federally qualified health center W-2 Managing Employee Jul 8, 1985
CVHS WestmorelandMontross, VA, CCN 491837 Federally qualified health center W-2 Managing Employee Jul 8, 1985
CVHS Hopewell Prince GeorgePrince George, VA, CCN 491861 Federally qualified health center W-2 Managing Employee Jul 8, 1985
CVHS FredericksburgFredericksburg, VA, CCN 491876 Federally qualified health center W-2 Managing Employee Jul 8, 1985
CVHS LouisaLouisa, VA, CCN 491877 Federally qualified health center W-2 Managing Employee Jul 8, 1985
CVHS CarolineBowling Green, VA, CCN 491898 Federally qualified health center W-2 Managing Employee Jul 8, 1985
CVHS PetersburgPetersburg, VA, CCN 491874 Federally qualified health center W-2 Managing Employee Jul 8, 1985
CVHS Charles CityCharles City, VA, CCN 491847 Federally qualified health center W-2 Managing Employee Jul 8, 1985
CVHS Downtown PetersburgPetersburg, VA, CCN 491842 Federally qualified health center W-2 Managing Employee Jul 8, 1985
CVHS CharlotteCharlotte Court House, VA, CCN 491817 Federally qualified health center W-2 Managing Employee Jul 8, 1985
CVHS FarmvilleFarmville, VA, CCN 491819 Federally qualified health center W-2 Managing Employee Jul 8, 1985
CVHS BuckinghamNew Canton, VA, CCN 491801 Federally qualified health center W-2 Managing Employee Jul 8, 1985
CVHS BrunswickAlberta, VA, CCN 491802 Federally qualified health center W-2 Managing Employee Jul 8, 1985
CVHS CharlottesvilleCharlottesville, VA, CCN 491943 Federally qualified health center W-2 Managing Employee Jul 8, 1985
CVHS PetersonCharlottesville, VA, CCN 491958 Federally qualified health center W-2 Managing Employee Jul 8, 1985
CVHS Crimson ClinicPetersburg, VA, CCN 491972 Federally qualified health center W-2 Managing Employee Jul 8, 1985
CVHS Hopewell School-Based Health CenterHopewell, VA, CCN 491986 Federally qualified health center W-2 Managing Employee Jul 8, 1985
CVHS-South SycamorePetersburg, VA, CCN 491000 Federally qualified health center W-2 Managing Employee Jul 8, 1985

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Central Virginia Health Services Inc CurrentSince Oct 19, 2019 Accepting new patients
Central Virginia Health Services Inc Current Accepting new patients
Central Virginia Health Services Inc CurrentSince Dec 11, 1991 Accepting new patients
Central Virginia Health Services Inc CurrentSince Dec 11, 1991 Accepting new patients
Central Virginia Health Services Inc PastSince Mar 6, 2022 Accepting new patients

Locations

9950 Courthouse Rd
Charles City, VA 23030
Phone (804) 226-6383

1101 E Jefferson St
Charlottesvle, VA 22902
Phone (434) 227-5624

833 Buffalo St
Ste 200
Farmville, VA 23901
Phone (434) 392-8177

1965 Emancipation Hwy
Ste 100
Fredericksburg, VA 22401
Phone (540) 735-0560

115 Jefferson Hwy
Ste 9
Louisa, VA 23093
Phone (540) 967-9401

18849 Kings Hwy
Montross, VA 22520
Phone (804) 493-1124

25892 N James Madison Hwy
New Canton, VA 23123
Phone (434) 581-3271

NPPES NPI Registry

Updated by the provider on Jul 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101035538 VA Primary

Addresses

Primary practice location

25892 N. James Madison Hwy
New Canton, VA 23123-0220

Mailing address

PO Box 220
New Canton, VA 23123-0220
Phone (434) 581-3271

Other identifiers 1

IdentifierTypeStateIssuer
110059443OtherVARAILROAD MEDICARE

NPI Registry JSON

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342742400000",
    "number": "1992783286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220",
            "city": "NEW CANTON",
            "state": "VA",
            "postal_code": "231230220",
            "telephone_number": "434-581-3271",
            "fax_number": "434-581-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25892 N. JAMES MADISON HWY",
            "city": "NEW CANTON",
            "state": "VA",
            "postal_code": "231230220",
            "telephone_number": "434-581-3271",
            "fax_number": "434-581-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASHORE",
        "first_name": "RANDALL",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2012-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101035538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110059443",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Canton, VA

Sources for this page

Verify at the official NPI Registry.