Provider Demographics
NPI:1235126715
Name:BETTS, MARTIN F (MD)
Entity Type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:F
Last Name:BETTS
Suffix:
Gender:M
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:PO BOX 8266
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226-0266
Mailing Address - Country:US
Mailing Address - Phone:804-285-0100
Mailing Address - Fax:804-285-2458
Practice Address - Street 1:1800 GLENSIDE DR
Practice Address - Street 2:SUITE 103
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226-3769
Practice Address - Country:US
Practice Address - Phone:804-285-0100
Practice Address - Fax:804-285-2458
Is Sole Proprietor?:No
Enumeration Date:2005-09-30
Last Update Date:2009-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101029467207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA141612OtherSOUTHERN HEALTH
VA2744922OtherAETNA HMO
VA250801OtherMAMSI/ALLIANCE
VA286955OtherANTHEM-HANOVER
VA50476OtherCARENET
VA027877OtherCIGNA
VA4063288OtherAETNA NONHMO
VA286954OtherANTHEM-GLENSIDE
VA290014186OtherMEDICARE-RAILROAD
VA21261OtherSENTARA
VA5864381Medicaid
VA04-04701OtherUNITED HEALTHCARE
VA5864381Medicaid
VA50476OtherCARENET