DR. BOBBY J GARRISON JR. (NPI# 1942258082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942258082 |
| Entity Type | Individual |
| Full Name | DR. BOBBY J GARRISON JR. |
| Other Name | DR. BOBBY J GARRISON JR. |
| Credential | MD |
| Practice Address |
1909 Granby St Norfolk VA 23517-2349 |
| Practice Telephone | 7576400022 |
| Practice Fax Number | 7576278064 |
| Mailing Telephone | 7576400022 |
| Mailing Fax Number | 7576278064 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2012-12-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 0101035124 | VA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 006717349 | 05 | |
| VA | OPTIMA | 13013 | 01 |
| VA | ANTHEM | 331438 | 01 |
| Street Address |
1909 GRANBY ST |
| City | NORFOLK |
| State | VA |
| Zip Code | 23517-2349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942467204 | Erica Willis | Pediatrics | 1909 Granby St, Norfolk, VA 23517-2349 | 2008-05-22 |
| 1801845177 | Windy J Mason-leslie | Specialist | 1909 Granby St, Norfolk, VA 23517-2349 | 2006-05-06 |
| 1457309171 | Victor H Mickunas | Specialist | 1909 Granby St, Norfolk, VA 23517-2349 | 2006-05-05 |
| 1992753610 | Jennifer C Livingood | Specialist | 1909 Granby St, Norfolk, VA 23517-2349 | 2006-05-05 |
| 1144278078 | Jean L Oliver | Specialist | 1909 Granby St, Norfolk, VA 23517-2349 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164948535 | Honey Behavioral Therapy | Behavioral Analyst | 520 W. 21st Street, Suite G2-407, Norfolk, VA 23517 | 2017-08-17 |
| 1245638899 | Americare Plus, LLC. | In Home Supportive Care | 2200 Colonial Avenue, Suite 15, Norfolk, VA 23517 | 2014-12-15 |
| 1932458478 | Carolyn Reed Hersh | Counselor | 117 W. 21st Street, Suite 206, Norfolk, VA 23517 | 2012-08-30 |
| 1487959342 | Harris Teeter, LLC | Pharmacy | 1320 Colonial Avenue, Norfolk, VA 23517 | 2011-01-24 |
| 1912133406 | Air Specialty Corp | Contractor | 121 East 25th St, Norfolk, VA 23517 | 2009-06-10 |
| 1578798849 | East End Academy Inc Southside | Clinic/Center | 2607 Colonial Avenue, Norfolk, VA 23517 | 2009-05-15 |
| 1568682292 | Jennifer S Derugen | Midwife | 1700 Hampton Blvd, Apt A, Norfolk, VA 23517 | 2007-04-26 |
| 1265568026 | Norfolk Integrative Manual Therapy | Physical Therapist | 350 22 St W., Suite 108, Norfolk, VA 23517 | 2007-02-26 |
| 1528133436 | Krysia B Witkowski | Physical Therapist | 350 W 22nd St, Suite 108, Norfolk, VA 23517 | 2006-11-24 |
| 1699846121 | Orthopaedic Associates of Virginia, Ltd | Neuromusculoskeletal Medicine, Sports Medicine | 953b West 21st St, Virginia Beach, VA 23517 | 2006-11-13 |
| Find all providers in zip 23517 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952818189 | Gabrielle Dorann Martineau | Specialist | 52 Pleasant Dr, Norfolk, NY 13667-3296 | 2018-01-09 |
| 1548704570 | Nicole Anthony | Specialist | 242 W 26th St, Norfolk, VA 23517-1312 | 2016-12-09 |
| 1497206692 | Ruth Short | Specialist | 28 Sober St, Norfolk, NY 13667-4147 | 2016-10-23 |
| 1053742676 | Ericka D. Thompson | Specialist | 400 W Brambleton Ave Ste 300, Norfolk, VA 23510-1115 | 2013-12-07 |
| 1831476472 | Lorena Decker | Specialist | 870 N Military Hwy, 310, Norfolk, VA 23502-3638 | 2011-11-10 |
| 1568609857 | Terry Escobar | Specialist | 6200 Curlew Dr, Norfolk, VA 23502-4718 | 2009-01-08 |
| 1609011568 | Parker Babington | Specialist | 301 Riverview Ave Ste 400, Norfolk, VA 23510-1065 | 2008-12-07 |
| 1902094022 | Retinal Consultants Inc | Specialist | 400 Gresham Dr Ste 802, Norfolk, VA 23507-1901 | 2007-10-15 |
| 1720272594 | Jennifer Z Vevoda | Specialist | 171 Kempsville Rd Bldg A1, Norfolk, VA 23502-4700 | 2007-09-05 |
| 1770704819 | The Orthopaedic Center for Foot & Ankle Reconstruction | Specialist | 100 Kingsley Ln Ste 300, Norfolk, VA 23505-4613 | 2007-05-02 |
| Find all providers in NORFOLK | ||||
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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.