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Deactivated NPI 1295725802 Deactivated / Inactive NPI Male Practitioner

Dr. Lewis William Bridgforth , MD

General Practice • Victoria, VA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Lewis Bridgforth has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 25, 2005
NPI Deactivation Date December 02, 2020
Total Practice Duration ~15 Years of Practice (2005 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Lewis Bridgforth, MD was a registered General Practice practicing in Victoria, VA. Throughout an active medical career spanning 15 years, Dr. Bridgforth provided care at the practice location at 1418 6TH ST until profile deactivation on 2020-12-02.

Practice Location & Contact Primary Location

Practice Address

1418 6th St

Victoria, VA 239740728

Telephone 4346965555
Fax 4346961625
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Victoria, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Victoria, VA (440 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License VA 0101017342

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Mary Cabrera , MD

Family Medicine

NPI 1558328450

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 02, 2020

Record deactivated on December 02, 2020

NPI Profile Active October 28, 2008

NPI status registered as active in NPPES database

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Updated Practice Location October 28, 2008

Registered at 1418 6TH ST, VICTORIA, VA 239740728 (Tel: 4346965555)

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Updated Business Mailing Address October 28, 2008

Registered at 800 OAK ST, FARMVILLE, VA 239011199 (Tel: 4346965555)

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Provider Name / Credentials Updated October 28, 2008

Recorded as LEWIS BRIDGFORTH, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 28, 2008

General Practice (License #0101017342 in VA)

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Initial NPI Registration & Enumeration October 25, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295725802
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 25, 2005
Last Update: October 28, 2008
Deactivation Date: December 02, 2020

Mailing Address

800 Oak St

Farmville, VA 239011199

Phone: 4346965555

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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