Provider Demographics
NPI:1588711386
Name:ADLER, DAVID HENRY (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:HENRY
Last Name:ADLER
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 1:2075 GLENN MITCHELL DR STE 400
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23456-0179
Mailing Address - Country:US
Mailing Address - Phone:757-252-9365
Mailing Address - Fax:757-962-7217
Practice Address - Street 1:2075 GLENN MITCHELL DR STE 400
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23456-0179
Practice Address - Country:US
Practice Address - Phone:757-252-9365
Practice Address - Fax:757-962-7217
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101248969207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1588711386OtherTRICARE
NC5917812Medicaid
1588711386OtherVIRGINIA HEALTH NETWORK
VA10078030OtherOPTIMA
VA1588711386OtherMEDCOST
VA1588711386OtherCOVENTRY HEALTH CARE
VA1588711386OtherVIRGINIA PREMIER HEALTH PLAN
VA5288833OtherCIGNA
VA1588711386OtherCOVENTRY
VA1588711386OtherANTHEM BCBS
VA1588711386OtherMULTIPLAN
VA1588711386OtherCORVEL
VA10078441OtherOPTIMA HEALTH
VA1588711386OtherAETNA
1588711386OtherUNITED HEALTHCARE
VA1588711386OtherUSA MANAGED CARE
VA1588711386Medicaid
VA1588711386Medicaid
VA10078441OtherOPTIMA HEALTH
VA1588711386OtherMULTIPLAN
VAVV2021BMedicare PIN