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DR. BRICE TENE DEFO MD
NPI 1720830326
Student in an Organized Health Care Education/Training Program in Abingdon, VA

Active since April 05, 2024PECOS Enrolled
613 CAMPUS DR STE 200, ABINGDON, VA 24210(276) 628-1186(276) 628-8507 Get Directions Write a Review

NPPES record last updated: May 4, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 4, 2024, Apr 5, 2024 (2 updates tracked since 2024).

About Dr. Brice Tene Defo Md NPPES

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

DR. BRICE TENE DEFO MD (NPI 1720830326) is an individual student in an organized health care education/training program in Abingdon, Virginia and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720830326
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. BRICE TENE DEFOCredential: MD
Location Address613 CAMPUS DR STE 200Abingdon, VA 24210-9703
Mailing Address16000 Johnston Memorial DrAbingdon, VA 24211-7664 · (276) 628-1186
Phone(276) 628-1186
Fax(276) 628-8507
Sole ProprietorNo
Enumeration DateApril 5, 2024
Last NPPES UpdateMay 4, 20242 updates tracked since enumeration
NPPES CertifiedMay 4, 2024
✔ NPI 1720830326 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.

613 CAMPUS DR STE 200, Abingdon, VA 24210
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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)

Dr. Brice Tene Defo Md 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.

MRS. LAURA MARIE WALTS M.A., LPC
Counselor (Professional)
613 CAMPUS DR STE 200
ABINGDON, VA 24210
Washington County (276) 628-1186
JENNIFER NICOLE DEAN PMHNP
Psychiatry & Neurology (Psychiatry)
613 CAMPUS DR STE 200
ABINGDON, VA 24210
Washington County (276) 628-1186
MAJD SHAMMA MD
Student in an Organized Health Care Education/Training Program
613 CAMPUS DR STE 200
ABINGDON, VA 24210
Washington County (276) 628-1186
SAMAR ALKHRAIT MD
Student in an Organized Health Care Education/Training Program
613 CAMPUS DR STE 200
ABINGDON, VA 24210
Washington County (276) 628-1186
MR. WILLIAM BURCH HAYNES JR. M.ED.
Counselor (Professional)
613 CAMPUS DR STE 200
ABINGDON, VA 24210
Washington County (276) 628-1186
JUSTIN MATHEW ADAMS NP-C
Nurse Practitioner (Family)
613 CAMPUS DR STE 200
ABINGDON, VA 24210
Washington County (276) 628-5141
BRIANNA BURCHFIELD DO
Family Medicine
613 CAMPUS DR STE 200
ABINGDON, VA 24210
Washington County (276) 628-1186
DR. MENA G ISSA MD
Student in an Organized Health Care Education/Training Program
613 CAMPUS DR STE 200
ABINGDON, VA 24210
Washington County (276) 628-1186

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 Brice Tene Defo's NPI number?

The NPI number for Brice Tene Defo is 1720830326. It was assigned to this individual provider in the NPPES registry on April 5, 2024.

Where is Brice Tene Defo located?

Brice Tene Defo practices at 613 Campus Dr Ste 200, Abingdon, VA 24210. The listed phone number is (276) 628-1186.

What is Brice Tene Defo's specialty?

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

Is Brice Tene Defo enrolled in Medicare?

Yes. Brice Tene Defo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brice Tene Defo was last updated on May 4, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.