Richard David Bagnall
Family Doctor
120 Kings Way Suite 1400
Williamsburg
, Virginia 23185-2505
Richard David Bagnall
Family Doctor
120 Kings Way Suite 1400
Williamsburg
, Virginia 23185-2505
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Richard David Bagnall
- 856 J Clyde Morris Blvd Suite A
- Newport News, VA
- Zip : 23601-1318
- Phone :
Second Address
- Richard David Bagnall
- 120 Kings Way Suite 1400
- Williamsburg, VA
- Zip : 23185-2505
- Fax : (757) 345-0366
- Phone : (757) 345-2555
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 0101102591 | VA |
National Provider Identifier
| NPI | 1003803149 |
|---|---|
| Provider Name | Richard David Bagnall |
| First Address | Newport News, VA 23601-1318 |
| Second Address | Williamsburg, VA 23185-2505 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/10/2005 |
| Last Update Date | 30/09/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1003803149 | (05) | VA |
| G96987 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.