Provider Demographics
NPI:1396745535
Name:REED, JAMES TODD (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:TODD
Last Name:REED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:PO BOX 60447
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-0447
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8110 HEALTHCARE LOOP
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28215-7069
Practice Address - Country:US
Practice Address - Phone:704-316-2310
Practice Address - Fax:704-316-2311
Is Sole Proprietor?:No
Enumeration Date:2005-07-29
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101047046207R00000X
NC2019-00994207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA224239OtherANTHEM/HEALTHKEEPERS
VA4140488OtherAHP MGD CHOICE
VA45560012OtherBCBS DC CAPCARE
VA541908735OtherPHCS
VA723582OtherAFFORDABLE FIRST HEALTH
VA125859OtherONE HEALTH GREATWEST
VA0400415OtherUNITED HEALTH VIRGINIA
VA0403426OtherUNITED HEALTH MID-ATLANTI
VA541908735OtherCCN
VA461905OtherAETNA/US HEALTHCARE
VA541908735OtherPREFERRED PLAN
VA110184240OtherRAILROAD MEDICARE
VA224239OtherTRIGON KEYAD
VA505119OtherNCPPO
VA5819679Medicaid
VA259978OtherMDIPA/OPTIMUM CHOICE/MAMS
VA5325453-033OtherCIGNA HMO
VA541908735OtherCHAMPUS TRICARE/STD