Unknown Individual – Family Medicine Physician, NPI 1780665331

Unknown Individual is a healthcare provider. based in Radford, Virginia. specializing in Family Medicine Physician. They hold a License No. 0101-027425 (VA). The NPI Number for Unknown Individual is 1780665331

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1780665331
Phone
(540) 731-3200
Address
701 RANDOLPH ST
Deactivation Date
28 September 2022
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

Loading map...

Provider Addresses for Unknown Individual

  • 701, Randolph Street, Ridgefield, Radford Village, Radford City, Radford (city), Virginia, 24141, United States

    SUITE 120

    RADFORD, VA 241413047

    Phone: (540) 731-3200

    Fax: (540) 639-1048

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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.

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.

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

Insurance plans in this area (ZIP 24141)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1780665331.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's primary classification?
Family Medicine Physician is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Radford, Virginia may find Unknown Individual in results; validate coverage separately.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

Similar Providers

CHARLES RAEBURN JUDY (M.D.)

Family Medicine Physician
Randolph Street, Ridgefield, Radford Village, Radford City, Radford (city), Virginia, 24141, United States
NPI: 1720085392

DR. STEPHEN A. BEESE (M.D.)

Family Medicine Physician
Christiansburg Pike Northeast, Poff, Floyd County, Virginia, 24138, United States
NPI: 1962496018

DR. DANIEL R KELLY (MD)

Family Medicine Physician
120, Randolph Street, Ridgefield, Radford Village, Radford City, Radford (city), Virginia, 24141, United States
NPI: 1922089556

SCOTT A KINCAID (MD)

Family Medicine Physician
701, Randolph Street, Ridgefield, Radford Village, Radford City, Radford (city), Virginia, 24141, United States
NPI: 1760463301

DR. THOMAS C MOGEN (MD)

Family Medicine Physician
37, Ridge Field Lane, Ridgefield, Radford, Virginia, 24141, United States
NPI: 1558343079

MICHAEL KEITH BOWMAN (M.D.)

Otolaryngology Physician
830 DAVIS ST STE 1
NPI: 1376510073

GREGORY L. STILL (MD)

Family Medicine Physician
32, Round Hill Drive, Ridgefield, Belle Heth, Radford, Virginia, 24141, United States
NPI: 1932177896

RANIA BAJWA ROSBOROUGH (M.D.)

Family Medicine Physician
2111 College Ave
NPI: 1326095100