Provider Demographics
NPI:1154364206
Name:BINDER, DAVID MICHAEL (DPM)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:MICHAEL
Last Name:BINDER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7575 COLD HARBOR RD
Mailing Address - Street 2:SUITE 2A BLDG 2
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23111
Mailing Address - Country:US
Mailing Address - Phone:804-730-1300
Mailing Address - Fax:804-730-8843
Practice Address - Street 1:7113 JAHNKE RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23225
Practice Address - Country:US
Practice Address - Phone:804-323-1070
Practice Address - Fax:804-320-6461
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA013000349213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA179628OtherANTHEM BCBS
VA480009215OtherRAILROAD MEDICARE
VA009330496Medicaid
VA480000017Medicare PIN
VA179628OtherANTHEM BCBS