BLUEFIELD COLLEGE (NPI# 1124556352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124556352 |
| Entity Type | Organization |
| Organization Name | BLUEFIELD COLLEGE |
| Other Organization Name | BLUEFIELD SPORTS MEDICINE |
| Practice Address |
3000 College Ave Bluefield VA 24605-2050 |
| Mailing Address |
5050 Spring Valley Rd Dallas TX 75244-3995 |
| Practice Telephone | 9723674845 |
| Mailing Telephone | 9723674845 |
| Mailing Fax Number | 9723673451 |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2017-06-01 |
| Authorized Official Name | MOUZON BASS III (AGENT) |
| Authorized Official Telephone | 9723674845 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Bluefield Sports Medicine | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BLUEFIELD COLLEGE | 3000 College Dr Fl 3, Bluefield, VA 24605-1737 |
| Virginia Business Entities | BLUEFIELD COLLEGE | 3000 College Ave, Bluefield, Virginia 24605-2050 |
| Street Address |
3000 COLLEGE AVE |
| City | BLUEFIELD |
| State | VA |
| Zip Code | 24605-2050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053719229 | Erika Elaine Bell | Specialist/Technologist | 3000 College Ave, Bluefield, VA 24605 | 2014-12-19 |
| 1093367534 | Kianne Fernandez | Specialist/Technologist | 3000 College Ave, Bluefield, VA 24605-2050 | 2019-07-15 |
| 1871088732 | Emily Evans | Specialist/Technologist | 3000 College Ave, Bluefield, VA 24605-2050 | 2018-06-24 |
| 1295275493 | Esteban Apodaca | Specialist/Technologist | 3000 College Ave, Bluefield, VA 24605-2050 | 2017-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619539954 | Meghan Lee Bohach | Specialist/Technologist | 3000 College Dr., Bluefield, VA 24605 | 2019-07-08 |
| 1033579636 | Mt. State Ent & Facial Plastic Surgery, Inc. | Clinic/Center | 2 Westwood Professional Park, Bluefield, VA 24605 | 2016-02-25 |
| 1487948006 | Fermin Castro | Occupational Therapist | 20 Westwood Memorial Park, Bluefield, VA 24605 | 2011-05-31 |
| 1033422027 | Crewz LLC | Skilled Nursing Facility | Building 20, Westwood Medical Park, Bluefield, VA 24605 | 2010-07-19 |
| 1285966358 | Catherine Gillespie | Speech-Language Pathologist | 108 1/2 Spruce Street, Bluefield, VA 24605 | 2010-02-01 |
| 1790951432 | Derek S Buck | Physical Medicine & Rehabilitation | 111e Sanders Ln, Bluefield, VA 24605 | 2008-05-02 |
| 1275745994 | Christina Lynn Adkins | Occupational Therapist | Westwood Healthcare Center, Westwood Medical Park, Bluefield, VA 24605 | 2007-05-04 |
| 1215158100 | Beth Ann Reed | Physical Therapist | Westwood Center, Westwood Medical Park Rehab Department, Bluefield, VA 24605 | 2007-05-01 |
| 1164543559 | Constance L. Erickson | Speech-Language Pathologist | Westwood Office Park, Bluefield, VA 24605 | 2007-04-03 |
| 1649351164 | Mohammad Khalid Iqbal | Pediatrics | 2221 West Cumberland Rd, Bluefield, VA 24605 | 2006-10-18 |
| Find all providers in zip 24605 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326402116 | Che Monte Torry | Family Medicine | 739 Thimble Shoals Blvd Ste 1008, Newport News, VA 23606-3585 | 2016-04-08 |
| 1063802890 | Ferrum College | Family Medicine | 590 Ferrum Mountain Rd, Hank Norton Center, Ferrum, VA 24088 | 2015-02-02 |
| 1013174523 | Kinjal Sohagia | Family Medicine | 732 Thimble Shoals Blvd Ste 803, Newport News, VA 23606-4218 | 2008-05-21 |
| 1396932323 | Wellnessmd @ Acac LLC | Family Medicine | 406 Albemarle Sq, Charlottesville, VA 22901-1472 | 2007-10-03 |
| 1528261674 | Jason Mchugh | Family Medicine | 2613 Taylor Rd Ste 100, Chesapeake, VA 23321-2246 | 2007-06-07 |
| 1073554713 | Teresa Maria Camden | Family Medicine | 5211 W Broad St, 101, Richmond, VA 23230-3009 | 2006-06-10 |
| 1548237993 | Delmas J Bolin | Family Medicine | 25 W Calhoun St, Salem, VA 24153-3836 | 2006-03-03 |
| 1689296360 | Liberty University, Inc | Family Medicine | 1971 University Blvd, Lynchburg, VA 24515-0002 | 2020-05-15 |
| 1245709088 | Access Healthcare Multi-specialty Group, Pllc | Family Medicine | 2103 Graves Mill Rd, Forest, VA 24551-2675 | 2018-11-23 |
| 1295186377 | Aaron S Ferro | Family Medicine | 7101 Jahnke Road, Mob #7175, Richmond, VA 23225 | 2016-06-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.