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

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: August 30, 2026.

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

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.

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.

WILDWOOD EMERGENCY GROUP, LLC
Emergency Medicine
3700 S MAIN ST
BLACKSBURG, VA 24060
Montgomery County (540) 951-1111
BRETT LAWRENCE ARMSTRONG MD, MBA
Student in an Organized Health Care Education/Training Program
3700 S MAIN ST
BLACKSBURG, VA 24060
Montgomery County (540) 953-3528
AMIN ABU HEJLEH
Student in an Organized Health Care Education/Training Program
3700 S MAIN ST
BLACKSBURG, VA 24060
Montgomery County (540) 953-3528
DR. STEPHEN DANIEL DO
Student in an Organized Health Care Education/Training Program
3700 S MAIN ST
BLACKSBURG, VA 24060
Montgomery County (540) 951-1111
ZACHARY LOGAN BIRCH DO
Internal Medicine
3700 S MAIN ST
BLACKSBURG, VA 24060
Montgomery County (540) 953-3528
PETER J RECUPERO D.O.
Internal Medicine
3700 S MAIN ST
BLACKSBURG, VA 24060
Montgomery County (540) 951-1111
DR. MICHAEL HOWARD CLARY DO
Family Medicine
3700 S MAIN ST, SUITE A
BLACKSBURG, VA 24060
Montgomery County (540) 443-7187
DR. JENNIFER HANEY DO
Internal Medicine
3700 S MAIN ST
BLACKSBURG, VA 24060
Montgomery County (540) 951-1111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alex Pham's NPI number?

The NPI number for Alex Pham is 1477311306. It was assigned to this individual provider in the NPPES registry on March 6, 2024.

Where is Alex Pham located?

Alex Pham practices at 3700 S Main St, Blacksburg, VA 24060. The listed phone number is (540) 951-1111.

What is Alex Pham's specialty?

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

Is Alex Pham enrolled in Medicare?

Yes. Alex Pham is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alex Pham was last updated on March 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.