DR. WILLIAM BERNIS FREEDMAN (NPI# 1649274036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649274036 |
Entity Type | Individual |
Full Name | DR. WILLIAM BERNIS FREEDMAN |
Credential | M.D. |
Practice Address |
3225 Rye Hollow Lane Charlottesville VA 22903 |
Practice Telephone | 4349605288 |
Practice Fax Number | 4342934265 |
Mailing Telephone | 4349605288 |
Mailing Fax Number | 4342934265 |
Enumeration Date | 2005-06-13 |
Last Update Date | 2020-09-18 |
NPI Deactivation Date | 03/16/2006 |
NPI Reactivation Date | 2006-03-31 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
0101023877 | VA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | 1649274036 | 05 | |
VA | MEDICARE GROUP PIN | C10061 | 01 |
VA | SOUTHERN HEALTH | 456180 | 01 |
VA | ANTHEM | 247323 | 01 |
VA | RAILROAD MEDICARE | P00384294 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407805773 | William W Freedman | Emergency Medicine | 2222 N Nevada Ave, Colorado Springs, CO 80907-6831 | 2006-05-06 |
Street Address |
3225 RYE HOLLOW LANE |
City | CHARLOTTESVILLE |
State | VA |
Zip Code | 22903 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326671009 | Ticynn Symone London | Specialist/Technologist | 723 Retriever Run, Ticynn London, Charlottesville, VA 22903 | 2020-02-20 |
1043853542 | Elaine Mccall | Dietitian, Registered | 1335 Jefferson Park Ave, Charlottesville, VA 22903 | 2019-10-28 |
1205480753 | Sean Robert Bennett | Clinic/Center | 433 Ednam Drive, Charlottesville, VA 22903 | 2019-08-01 |
1922562818 | Lynn Owen Taggart | Student in an Organized Health Care Education/Training Program | 300 Grassmere Rd, Charlottesville, VA 22903 | 2019-01-25 |
1831636166 | Sarah Michelle Richin | Social Worker | 709 A West Main St, Charlottesville, VA 22903 | 2017-01-25 |
1962868851 | Kelly Stewart Maurer | Counselor | 3101 Fontaine Avenue, Charlottesville, VA 22903 | 2016-01-07 |
1831592039 | Bearley Dental PC | Dentist | 901 Preston Ave, Suite 200, Charlottesville, VA 22903 | 2014-10-01 |
1730437823 | Frances Eva Demmerle | Neuromusculoskeletal Medicine & OMM | 1149 Rose Hill Dr., Charlottesville, VA 22903 | 2012-08-21 |
1801142229 | University of Virginia | General Acute Care Hospital | 1925 Beechcrest Court, Charlottesville, VA 22903 | 2012-08-03 |
1407123516 | Laura P. Handler | Counselor | 500 Old Lynchburg Rd., Region Ten Csb, Charlottesville, VA 22903 | 2011-11-18 |
Find all providers in zip 22903 |
Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275899700 | David Shisler | Internal Medicine | 1215 Lee St Rm 4025, Charlottesville, VA 22908-3841 | 2012-04-10 |
1548428287 | Surovi Hazarika | Internal Medicine | 2955 Ivy Rd Ste 201, Charlottesville, VA 22903-9353 | 2008-05-29 |
1376609610 | Michael Ragosta | Internal Medicine | 1215 Lee St Heart Center Lee Street, Charlottesville, VA 22908-0001 | 2006-12-29 |
1720141740 | Carlos R. Ayers | Internal Medicine | Uva Northridge, 2955 Ivy Road, Charlottesville, VA 22903 | 2006-12-19 |
1215006846 | James M. Mangrum | Internal Medicine | Lee St Ground Floor, Charlottesville, VA 22908-0001 | 2006-11-07 |
1225088107 | Max A Luna | Internal Medicine | 500 Ray C Hunt Dr Fl 2, Charlottesville, VA 22903-2981 | 2006-05-11 |
1548240344 | Blue Ridge Heart and Vascular Plc | Internal Medicine | 300 Hickman Rd, Suite 202, Charlottesville, VA 22911-3554 | 2006-01-18 |
1407836380 | Joshua J Fischer | Internal Medicine | 650 Peter Jefferson Pkwy Ste 100, Charlottesville, VA 22911-8844 | 2006-01-18 |
1851376818 | Christopher D Friend | Internal Medicine | 650 Peter Jefferson Pkwy, Ste 100, Charlottesville, VA 22911-8844 | 2005-12-13 |
1952302093 | Richard P. Shannon | Internal Medicine | Lee St Fl 1, Charlottesville, VA 22908-0001 | 2005-08-10 |
Find all providers in CHARLOTTESVILLE |
City | CHARLOTTESVILLE |
Zip Code | 22903 |
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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.