Provider Demographics
NPI:1447298880
Name:ELBERT, BETHANNE HILL (MD)
Entity type:Individual
Prefix:DR
First Name:BETHANNE
Middle Name:HILL
Last Name:ELBERT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:BETHANNE
Other - Middle Name:
Other - Last Name:HILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4444 GERMANNA HWY
Mailing Address - Street 2:SUITE 310
Mailing Address - City:LOCUST GROVE
Mailing Address - State:VA
Mailing Address - Zip Code:22508-2035
Mailing Address - Country:US
Mailing Address - Phone:540-972-6222
Mailing Address - Fax:540-972-6299
Practice Address - Street 1:4444 GERMANNA HWY
Practice Address - Street 2:SUITE 310
Practice Address - City:LOCUST GROVE
Practice Address - State:VA
Practice Address - Zip Code:22508-2035
Practice Address - Country:US
Practice Address - Phone:540-972-6222
Practice Address - Fax:540-972-6299
Is Sole Proprietor?:No
Enumeration Date:2006-06-04
Last Update Date:2010-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101057113207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA005829496Medicaid
VA45801OtherCOMMUNITY HEALTH
VA45801Medicaid
VA700010127OtherCIGNA
VA119076Medicaid
VA268470OtherMAMSI
VA119076OtherANTHEM SVCS/HEALTHKEEPERS
VA146234OtherSOUTHERN HEALTH
VA45801Medicaid
VA45801OtherCOMMUNITY HEALTH
VA119076OtherANTHEM SVCS/HEALTHKEEPERS