Provider Demographics
NPI:1215933494
Name:POWERS, DAVID C (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:C
Last Name:POWERS
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 1:514 W ATLANTIC ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH HILL
Mailing Address - State:VA
Mailing Address - Zip Code:23970-1906
Mailing Address - Country:US
Mailing Address - Phone:434-447-6969
Mailing Address - Fax:434-447-2240
Practice Address - Street 1:514 W ATLANTIC ST
Practice Address - Street 2:
Practice Address - City:SOUTH HILL
Practice Address - State:VA
Practice Address - Zip Code:23970-1906
Practice Address - Country:US
Practice Address - Phone:434-447-6969
Practice Address - Fax:434-447-2240
Is Sole Proprietor?:No
Enumeration Date:2005-06-22
Last Update Date:2017-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101045455207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA089633OtherBCBS #
VA37183OtherCARENET KB
VA224189800OtherDOL
VA290913OtherSOUTHERN HEALTH KB
VA297590OtherSOUTHERN HEALTH KB
VA010252938Medicaid
VA1215933494Medicaid
VA226496OtherBCBS #
VA290301OtherSOUTHERN HEALTH
VA4393416OtherAETNA
VA010046419OtherSH RAILROAD MEDICARE
VA1215933494OtherNPI
VA1485526OtherCIGNA SH
VA48584OtherMEDCOST SH
VAA0998OtherMEDCOST KB
VA005620856OtherVA PREMIER SH
VA23713OtherOPTIMA KB
VA080144277OtherKB RAILROAD MEDICARE
VA189196OtherBCBS #
VA36581OtherCARENET SH
VA43354OtherOPTIMA
VA005620856Medicaid
VA005642892OtherVA PREMIER KB
VA005642892Medicaid
VA890664ROtherNC MEDICAID
VAA0998OtherMEDCOST KB
VAF28421Medicare UPIN
VA010252938Medicaid
VA1215933494OtherNPI
VA1215933494Medicaid
VA493869Medicare Oscar/Certification
VAF28421Medicare UPIN
VA010252938Medicaid