Dr. Henri Renom De La Baume, MD
Internal Medicine, Gastroenterology in Purcellville, VA. Individual provider (NPI-1).
NPI number1790769792
StatusActive
Last updated in NPPESFeb 23, 2026
Details
- NPI
- 1790769792
- Entity type
- Individual (NPI-1)
- Name
- Dr. Henri Renom De La Baume
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 2, 2005
- Certification date
- Feb 23, 2026
- Last updated
- Feb 23, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0100X | Internal Medicine, Gastroenterology | 0101246329 | VA | Yes |
| 207RG0100X | Internal Medicine, Gastroenterology | 01068264A | IN | |
| 207RG0100X | Internal Medicine, Gastroenterology | MD34498 | MD | |
| 282N00000X | General Acute Care Hospital | 01068264A | IN | |
| 171000000X | Military Health Care Provider | D34498 | MD |
Practice location
17336 Pickwick Dr Ste CPurcellville, VA 20132-6180
Phone 540-338-3636 · Fax 540-441-0301
Mailing address
190 Campus Blvd Ste 300Winchester, VA 22601-2872
Phone 540-667-1244 · Fax 540-667-3086
Other practice locations
9501 Farrell Road
Dewitt Army Community Hospital
Fort Belvoir, VA 22060
Dewitt Army Community Hospital
Fort Belvoir, VA 22060
Phone 703-805-0071 · Fax 703-805-0189
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.