Provider Demographics
NPI:1578510079
Name:BECHTEL, ROBERT WILLIAMS (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:WILLIAMS
Last Name:BECHTEL
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 1:170 FRANK HILBERT ROAD
Mailing Address - Street 2:
Mailing Address - City:JONESBOROUGH
Mailing Address - State:TN
Mailing Address - Zip Code:37659
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:100 FIFTEENTH STREET NW
Practice Address - Street 2:NORTON COMMUNITY HOSPITAL
Practice Address - City:NORTON
Practice Address - State:VA
Practice Address - Zip Code:24273
Practice Address - Country:US
Practice Address - Phone:276-679-9600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-28
Last Update Date:2011-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN21356207P00000X, 207R00000X
VA0101048181207P00000X, 207R00000X
TNMD021356207R00000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN0187582OtherBLUE SHIELD OF TENNESSEE
TN3066137Medicaid
VAVAA104582Medicare PIN
TN0187582OtherBLUE SHIELD OF TENNESSEE
TN3066137Medicaid