Provider Demographics
NPI:1124230917
Name:BLUEFIELD ORTHOPEDICS, P.C.
Entity Type:Organization
Organization Name:BLUEFIELD ORTHOPEDICS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:YOGESH
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:276-322-3461
Mailing Address - Street 1:1616 WEST CUMBERLAND ROAD
Mailing Address - Street 2:P, O, BOX 590
Mailing Address - City:BLUEFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:24605-0590
Mailing Address - Country:US
Mailing Address - Phone:276-322-3461
Mailing Address - Fax:276-326-6425
Practice Address - Street 1:1616 W CUMBERLAND RD
Practice Address - Street 2:
Practice Address - City:BLUEFIELD
Practice Address - State:VA
Practice Address - Zip Code:24605-2005
Practice Address - Country:US
Practice Address - Phone:276-322-3461
Practice Address - Fax:276-326-6425
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2012-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101035143207XP3100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XP3100XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryPediatric Orthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC11008OtherMEDICARE PTAN