Unknown Individual – Family Medicine Physician, NPI 1356344964

Unknown Individual is a healthcare provider. based in Bedford, Virginia. specializing in Family Medicine Physician. They hold a License No. 0101045721 (VA). The NPI Number for Unknown Individual is 1356344964

Main info

Organization
Inactive
37 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1356344964
Phone
(540) 587-8612
Address
1368 AMERICAN WAY COURT
Deactivation Date
5 March 2026

Doctor Profile

Medical School Name
EASTERN VIRGINIA MEDICAL SCHOOL
Secondary Phone
-
Graduation Year
1989 (37 years ago)
PAC ID
0547213282
Professional Enrollment ID
I20050225000062
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • American Way Court, Bedford, Bedford County, Virginia, 24523, United States

    BEDFORD, VA 245232940

    Phone: (540) 587-8612

    Fax: (540) 587-8619

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 24 Open Payments records for all available years, with a total value of $629.

Total Amount is formed as General ($629) + Research ($0) + Ownership ($0) = $629.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($261).

Total Amount

$629

General + Research + Ownership

Payments

24

Total payment records

General Amount

$629

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J1100Injection, dexamethasone sodium phosphate, 1 mg40033$0
99285Emergency department visit with high level of medical decision making372340$0
99214Established patient office or other outpatient visit, 30-39 minutes274125$0
36415Insertion of needle into vein for collection of blood sample269128$0
99213Established patient office or other outpatient visit, 20-29 minutes153104$0
View full utilization report →

Insurance plans in this area (ZIP 24523)

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Provider's Procedures

Unknown Individual performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
EMERGENCY MEDICINEVA20610Aspiration and/or injection of large joint or joint capsule2015

Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1356344964 — is the standard way to identify this listing.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Bedford, Virginia may find Unknown Individual in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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