BRUNSWICK FAMILY PRACTICE LTD (NPI# 1235208711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235208711 |
| Entity Type | Organization |
| Organization Name | BRUNSWICK FAMILY PRACTICE LTD |
| Practice Address |
319 West Church Street Lawrenceville VA 23868 |
| Mailing Address |
Post Office Box 748 319 West Church Street Lawrenceville VA 23868 |
| Practice Telephone | 4348480072 |
| Practice Fax Number | 4348480141 |
| Mailing Telephone | 4348480072 |
| Mailing Fax Number | 4348480141 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2008-07-15 |
| Authorized Official Name | WILLIAM H HARRISON III (PRESIDENT) |
| Authorized Official Telephone | 4348480072 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 0101038490 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 005630576 | 05 | |
| VA | ANTHEM BLUE CROSS BLUE SH | 092366 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | BRUNSWICK FAMILY PRACTICE LTD. | P O Box 748, Lawrenceville, Virginia 23868 |
| Street Address |
319 WEST CHURCH STREET |
| City | LAWRENCEVILLE |
| State | VA |
| Zip Code | 23868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275710204 | William Henry Harrison IIi | Family Medicine | 319 West Church Street, Lawrenceville, VA 23868 | 2008-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093313868 | Tri Counties Behavioral Health Services, LLC | Community/Behavioral Health | 1807 Piney Woods Road, Lawrenceville, VA 23868 | 2020-10-14 |
| 1902376551 | Lekicha Monique Cabiness | Counselor | 102 Hicks St. Suite 303, Lawrenceville, VA 23868 | 2018-11-27 |
| 1366926057 | Jpm Transportation LLC | Private Vehicle | 517 Sturgeon Road, Lawrenceville, VA 23868 | 2018-09-19 |
| 1538650098 | Pansy Smith Barner | Home Health | 2377 Old Stage Road, Lawrenceville, VA 23868 | 2018-05-21 |
| 1679084644 | Rita Latrice Seward | Non-emergency Medical Transport (VAN) | 201 North Hills Drive, 201 North Hills Drive, Lawrenceville, VA 23868 | 2017-10-18 |
| 1942726864 | Sonata Wall | Driver | 226 Brunswick Village Dr, Lawrenceville, VA 23868 | 2017-08-22 |
| 1427573971 | Leon Howard Smith II | Driver | 10460 Christanna Hwy, Lawrenceville, VA 23868 | 2017-08-06 |
| 1669994034 | Bernadette Tisdale Cook | Contractor | 2022 Poor House Road, Lawrenceville, VA 23868 | 2017-07-07 |
| 1689047771 | Shevon Valentine | Point of Service | 1807 Piney Woods Rd, Lawrenceville, VA 23868 | 2015-11-11 |
| 1134501943 | Rickie Leonard Seward | Contractor | 218 Travis Dr, Lawrenceville, VA 23868 | 2015-06-29 |
| Find all providers in zip 23868 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669989422 | Choicemed Inc | Family Medicine | 3545 Cruse Rd Ste 100, Lawrenceville, GA 30044-3169 | 2018-01-02 |
| 1356705768 | Mark Adam Theodore Molckovsky | Family Medicine | 32 East Lawrence Road, Lawrenceville, PA 16929 | 2016-04-12 |
| 1902290570 | New League Family Practice | Family Medicine | 428 Waterbury Dr, Lawrenceville, GA 30046-3323 | 2015-03-23 |
| 1114347580 | Tik Pau | Family Medicine | 665 Duluth Hwy Ste 501, Lawrenceville, GA 30046-8709 | 2014-04-23 |
| 1346687696 | Paul Andrew Robertson | Family Medicine | 825 Meadowsong Cir, Lawrenceville, GA 30043-4236 | 2013-05-28 |
| 1952667388 | Alfred B. Amendolara Md, PC | Family Medicine | 2380 Lawrenceville Rd, Lawrenceville, NJ 08648 | 2012-04-10 |
| 1013200096 | Sana Rabbi | Family Medicine | 455 Philip Blvd, Ste 130, Kaiser Permanente Lawrenceville Medical Office, Lawrenceville, GA 30046 | 2011-05-24 |
| 1992021232 | Community Family Practice and Urgent Care P C | Family Medicine | 277 E Crogan St, Lawrenceville, GA 30046-5054 | 2010-04-12 |
| 1013148626 | Sheila Kennedy | Family Medicine | 1430 Five Forks Trickum Rd St 220, Lawrenceville, GA 30044-8182 | 2009-07-30 |
| 1366628117 | Nazra Baluch | Family Medicine | 1692 Atkinson Park Cir, Lawrenceville, GA 30043-7937 | 2008-01-10 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 23868 |
Please comment or provide details below to improve the information on BRUNSWICK FAMILY PRACTICE LTD.
| 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.