ALEX PHAM
NPI 1477311306
Student in an Organized Health Care Education/Training Program in Blacksburg, VA

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since March 06, 2024PECOS Enrolled

3700 S MAIN ST, BLACKSBURG, VA 24060(540) 951-1111 Get Directions Write a Review

NPPES record last updated: March 22, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 22, 2025, Mar 6, 2024 (2 updates tracked since 2024).

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About Alex Pham NPPES

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

ALEX PHAM (NPI 1477311306) is an individual student in an organized health care education/training program in Blacksburg, Virginia and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477311306

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameALEX PHAM

Location Address3700 S MAIN STBlacksburg, VA 24060-7017

Mailing Address2265 Kraft DrBlacksburg, VA 24060-6360

Phone(540) 951-1111

Sole ProprietorYes

Enumeration DateMarch 6, 2024

Last NPPES UpdateMarch 22, 20252 updates tracked since enumeration

NPPES CertifiedMarch 22, 2025

✔ NPI 1477311306 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.

3700 S MAIN ST, Blacksburg, VA 24060

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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)

Alex 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.