LONG-QUAN DUC PHAM
NPI 1134824717
Student in an Organized Health Care Education/Training Program in Roanoke, VA

Q: What is Long-quan Pham's NPI number?

The NPI number for Long-quan Pham is 1134824717. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Q: What is Long-quan Pham's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Long-quan Pham was last updated on April 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 03, 2023PECOS Enrolled

1906 BELLEVIEW AVE SE, ROANOKE, VA 24014(540) 981-7000 Get Directions Write a Review

NPPES record last updated: April 3, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Long-quan Duc Pham NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LONG-QUAN DUC PHAM (NPI 1134824717) is an individual student in an organized health care education/training program in Roanoke, Virginia and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134824717

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameLONG-QUAN DUC PHAM

Location Address1906 BELLEVIEW AVE SERoanoke, VA 24014-1838

Mailing Address1128 Brattleboro ArchVirginia Beach, VA 23464-5833

Phone(540) 981-7000

Sole ProprietorYes

Enumeration DateApril 3, 2023

NPPES CertifiedApril 3, 2023

✔ NPI 1134824717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1906 BELLEVIEW AVE SE, Roanoke, VA 24014

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Long-quan Duc Pham is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN K THOMPSON PA-C, ATC

Physician Assistant