Provider Demographics
NPI:1295775112
Name:REAMS, B THOMAS (MD)
Entity type:Individual
Prefix:
First Name:B
Middle Name:THOMAS
Last Name:REAMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1507 HUGUENOT ROAD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23113-2485
Mailing Address - Country:US
Mailing Address - Phone:804-794-3140
Mailing Address - Fax:804-378-5457
Practice Address - Street 1:1507 HUGUENOT ROAD
Practice Address - Street 2:SUITE 200
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23113-2485
Practice Address - Country:US
Practice Address - Phone:804-794-3140
Practice Address - Fax:804-378-5457
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101028149207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
E98502Medicare UPIN