Provider Demographics
NPI:1053328633
Name:TRANDEL, BARBARA JOY (MD)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:JOY
Last Name:TRANDEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 S JEFFERSON ST STE 1006
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24011-1713
Mailing Address - Country:US
Mailing Address - Phone:540-224-5352
Mailing Address - Fax:
Practice Address - Street 1:2252 MAGNOLIA AVE
Practice Address - Street 2:
Practice Address - City:BUENA VISTA
Practice Address - State:VA
Practice Address - Zip Code:24416-3122
Practice Address - Country:US
Practice Address - Phone:540-261-7421
Practice Address - Fax:540-261-1952
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101-235785207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1053328633Medicaid
VAI28621Medicare UPIN
VA1053328633Medicaid
VAVV3374AMedicare PIN