Provider Demographics
NPI:1073588158
Name:BIGLEY, HARRY ALAN JR (MD)
Entity Type:Individual
Prefix:
First Name:HARRY
Middle Name:ALAN
Last Name:BIGLEY
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:8580 MAGELLAN PKWY
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23227-1149
Mailing Address - Country:US
Mailing Address - Phone:804-520-5580
Mailing Address - Fax:804-520-5583
Practice Address - Street 1:436 CLAIRMONT CT
Practice Address - Street 2:SUITE 104
Practice Address - City:COLONIAL HEIGHTS
Practice Address - State:VA
Practice Address - Zip Code:23834-1765
Practice Address - Country:US
Practice Address - Phone:804-520-5580
Practice Address - Fax:804-520-5583
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2020-02-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101019205208800000X, 208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA7565551Medicaid
VA7565551Medicaid
VA341950701Medicare PIN
VA340005518Medicare PIN