CENTRA MEDICAL GROUP BEDFORD, LLC
NPI 1699194977
Family Medicine in Bedford, VA

NPI Status: Active since April 15, 2014

Contact Information

1613 OAKWOOD ST
BEDFORD, VA
ZIP 24523
Phone: (434) 200-3656

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  • Organization
  • Family Medicine
  • CLIA Number: 49D2059998
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-15-2025

About CENTRA MEDICAL GROUP BEDFORD, LLC

This page provides the complete NPI Profile along with additional information for Centra Medical Group Bedford, Llc, a primary care provider established in Bedford, Virginia operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1699194977 assigned on April 2014. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. Centra Medical Group Bedford, Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Lewis Addison (Sr Vp Cfo)

NPI
1699194977
Provider Name
CENTRA MEDICAL GROUP BEDFORD, LLC
Entity Type
Organization
Location Address
1613 OAKWOOD ST BEDFORD, VA 24523
Location Phone
(434) 200-3656
Mailing Address
2010 ATHERHOLT RD LYNCHBURG, VA 24501
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-15-2014
Last Update Date
04-15-2014
Code Navigator

A primary care provider (PCP) like Centra Medical Group Bedford, Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207L00000XAllopathic & Osteopathic Physicians

Anesthesiology

 
2207P00000XAllopathic & Osteopathic Physicians

Emergency Medicine

 
3207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 
4208100000XAllopathic & Osteopathic Physicians

Physical Medicine & Rehabilitation

 
52085R0202XAllopathic & Osteopathic Physicians

Radiology
Diagnostic Radiology

 
6208600000XAllopathic & Osteopathic Physicians

Surgery

 
7208M00000XAllopathic & Osteopathic Physicians

Hospitalist

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LEWIS ADDISON

Authorized Official Title
SR VP CFO
Authorized Official Phone
(434) 200-5047

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
49D2059998
Facility Type
Physician Office
Certificate Effective Date
October 16, 2023
Certificate Expiration Date
October 15, 2025
Laboratory Director
DARLENE J. BIANCHINO-NIGRO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Centra Medical Group Bedford, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1699194977
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26189298914
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 8 + 9 + 2 + 9 + 8 + 9 + 1 + 4 + 24 = 83
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
90 - 83 = 77

The NPI number 1699194977 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1295728491BEDFORD MEMORIAL HOSPITAL
Organization
General Acute Care Hospital1613 OAKWOOD ST
BEDFORD, VA 24523
(540) 586-2441
1295726222DR. WILLIAM ELLIOT WEDDLE M.D.
Individual
Emergency Medicine (Emergency Medical Services)1613 OAKWOOD ST
BEDFORD, VA 24523
(540) 586-2441
1316929540DR. CESAR EVARISTO CABALLERO M.D.
Individual
Family Medicine1613 OAKWOOD ST BEDFORD MEMORIAL HOSPITAL EMERGENCY DEPARTMENT
BEDFORD, VA 24523
(540) 586-9500
1255303368 WAYNE HUTCHISON MD
Individual
Family Medicine1613 OAKWOOD ST
BEDFORD, VA 24523
(540) 586-4723
1295780500 ALAN M DENEKAS M.D.
Individual
Family Medicine1613 OAKWOOD ST EMERGENCY DEPT
BEDFORD, VA 24523
(540) 586-2441
1073546941COMPREHENSIVE BREAST IMAGING, PC
Organization
Radiology (Diagnostic Radiology)1613 OAKWOOD ST
BEDFORD, VA 24523
(540) 587-3245
1861504508 MARTIN DITTLER CRNA
Individual
Nurse Anesthetist, Certified Registered1613 OAKWOOD ST
BEDFORD, VA 24523
(540) 586-2441
1073625729 RHONDA KUHN CRNA
Individual
Nurse Anesthetist, Certified Registered1613 OAKWOOD ST
BEDFORD, VA 24523
(540) 586-2441
1437275500 PAUL ALDEN BISBEE
Individual
Pharmacist1613 OAKWOOD ST
BEDFORD, VA 24523
(540) 587-3457
1134499387THE ORTHOPAEDIC CENTER OF CENTRAL VIRGNIA, INC
Organization
Orthopaedic Surgery1613 OAKWOOD ST SUITE 101
BEDFORD, VA 24523
(434) 485-8500
1770840654CENTRA HEALTH PROFESSIONAL SERVICES, LLC
Organization
Orthopaedic Surgery1613 OAKWOOD ST SUITE 101
BEDFORD, VA 24523
(540) 297-7783
1588918239 KELLY P DINH PA
Individual
Physician Assistant1613 OAKWOOD ST
BEDFORD, VA 24523
(540) 586-2441
1982677415 JOHN W CARMODY M.D.
Individual
Orthopaedic Surgery1613 OAKWOOD ST SUITE 101
BEDFORD, VA 24523
(434) 485-8500
1386057420BEDFORD POST ACUTE SERVICES LLC
Organization
Skilled Nursing Facility1613 OAKWOOD ST
BEDFORD, VA 24523
(434) 200-2161
1003859687 STEPHEN M JOHNSON M.D.
Individual
Internal Medicine (Pulmonary Disease)1613 OAKWOOD ST
BEDFORD, VA 24523
(540) 587-7810
1902209968 BRYCE BRISTOW
Individual
Speech-Language Pathologist1613 OAKWOOD ST
BEDFORD, VA 24523
(540) 586-2441
1235534702 SHELIA SCHROEDER
Individual
Occupational Therapist1613 OAKWOOD ST
BEDFORD, VA 24523
(540) 586-3246
1043608029 JUSTIN SEWARD PT, DPT
Individual
Physical Therapist1613 OAKWOOD ST
BEDFORD, VA 24523
(540) 586-2441
1871574368BEDFORD MEMORIAL HOSPITAL
Organization
Skilled Nursing Facility1613 OAKWOOD ST
BEDFORD, VA 24523
(434) 200-1816
1295104347CENTRA MEDICAL GROUP, LLC
Organization
Family Medicine1613 OAKWOOD ST SUITE 201
BEDFORD, VA 24523
(540) 586-7273

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699194977, enumerated in the NPI registry as an "organization" on April 15, 2014

The provider is located at 1613 Oakwood St Bedford, Va 24523 and the phone number is (434) 200-3656

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

The provider's CLIA number is 49D2059998 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on April 15, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.