Unknown Individual – Community/Behavioral Health Agency, NPI 1255417507

Unknown Individual is a healthcare provider. based in Bedford, Virginia. specializing in Community/Behavioral Health Agency. They hold a License No. 15802029 (VA). The NPI Number for Unknown Individual is 1255417507

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1255417507
Phone
(434) 825-9711
Address
100 MINUTE MAN DR
Deactivation Date
10 September 2025
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

Provider Addresses for Unknown Individual

  • 100 MINUTE MAN DR

    BEDFORD, VA 245233810

    Phone: (434) 825-9711

    Type: Location

  • Spotsylvania Avenue, Maryes Heights, Fredericksburg, Fredericksburg City, Virginia, 22401, United States

    SUITE 300

    FREDERICKSBURG, VA 224088602

    Phone: (540) 710-6085

    Fax: (540) 710-6419

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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.

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 24523)

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Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1255417507.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Community/Behavioral Health Agency. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Bedford, Virginia in registry-derived data.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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