NPI 1912903998 · live from the CMS NPI Registry
Anthony Michael Bevilacqua, D.O.
Orthopaedic Surgery in Suffolk, VA. National Provider Identifier 1912903998, active.
NPI record
| NPI | 1912903998 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery 207X00000X |
| Practice location | 150 Burnetts Way, Ste. 100, Suffolk, VA 23434 |
| Practice phone | 757-547-5145 |
| Mailing address | 501 Discovery Dr, Chesapeake, VA 23320 |
| Enumerated | June 23, 2005 |
| Last updated | April 25, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery | 207X00000X | 2019-02810 (NC) |
| Orthopaedic Surgery primary | 207X00000X | 0102037163 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.