RENAISSANCE MEDICAL CARE – NPI #1568977940
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

RENAISSANCE MEDICAL CARE is a provider located in BRISTOL, VA. NPPES has assigned the NPI number 1568977940 to RENAISSANCE MEDICAL CARE on December 07, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 7 years ago on Mar 25, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RENAISSANCE MEDICAL CARE below.

NPI Profile for
RENAISSANCE MEDICAL CARE

NPI Number
1568977940
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
RENAISSANCE MEDICAL CARE
Primary location
284 BLEVINS BOULEVARD
BRISTOL, VA 24202
Phone: (276) 285-3911 Fax: (276) 285-3920
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
GEORGE HALSTEAD
PRESIDENT
Phone: (276) 285-3911
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
207QA0401X
- Family Medicine / Addiction Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.