Joseph Bannister, MD
Family Medicine in Midlothian, VA. Individual provider (NPI-1).
NPI number1679223085
StatusActive
Last updated in NPPESMar 31, 2026
Details
- NPI
- 1679223085
- Entity type
- Individual (NPI-1)
- Name
- Joseph Bannister
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 28, 2022
- Certification date
- Mar 31, 2026
- Last updated
- Mar 31, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 0101284638 | VA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
15769 Wc Main StMidlothian, VA 23113-7327
Phone 804-419-9760
Mailing address
15769 Wc Main StMidlothian, VA 23113-7327
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