Unknown Individual – Family Medicine Physician, NPI 1801080247

Unknown Individual is a healthcare provider. based in Tazewell, Virginia. specializing in Family Medicine Physician. They hold a License No. 1627 (WV). The NPI Number for Unknown Individual is 1801080247

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1801080247
Phone
(276) 988-8700
Address
141 BEN BOLT AVE
Deactivation Date
12 April 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

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Provider Addresses for Unknown Individual

  • 141, Ben Bolt Avenue, Benbolt, Tazewell, Tazewell County, Virginia, 24651, United States

    TAZEWELL, VA 246519700

    Phone: (276) 988-8700

    Fax: (276) 988-8782

    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)

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 24651)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1801080247 if you need a stable reference for Unknown Individual.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Virginia?
You will see Tazewell, Virginia on file for Unknown Individual alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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