Intrepid of Tidewater, Inc.
NPI 1245904994 · Hospice and Palliative Medicine (Family Medicine) Physician · Radford, VA
Intrepid of Tidewater, Inc. is a Hospice and Palliative Medicine (Family Medicine) Physician organization in Radford, VA (NPI 1245904994).
Provider details
- NPI number
- 1245904994
- Entity type
- Organization
- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Robert Parker, Chief Compliance Officer(214) 445-3750
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Intrepid Palliative & Supportive Care
Registry dates
- Enumerated
- 2021-08-05
- Last updated
- 2021-08-05
- Certified
- 2021-08-05
Frequently asked questions
- What is Intrepid of Tidewater, Inc.'s NPI number?
- Intrepid of Tidewater, Inc.'s National Provider Identifier (NPI) is 1245904994, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Intrepid of Tidewater, Inc.?
- Intrepid of Tidewater, Inc. is classified in the NPPES registry as Hospice and Palliative Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Intrepid of Tidewater, Inc. located?
- Intrepid of Tidewater, Inc.'s practice location on file with NPPES is 101 W Main St, Radford, VA 24141-1582.
- What is Intrepid of Tidewater, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Intrepid of Tidewater, Inc. is (540) 639-3280.
- Who is the authorized official for Intrepid of Tidewater, Inc.?
- The authorized official listed on Intrepid of Tidewater, Inc.'s NPPES record is Robert Parker, Chief Compliance Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Intrepid of Tidewater, Inc.'s NPI active?
- Yes — Intrepid of Tidewater, Inc.'s NPI (1245904994) is active in the NPPES registry as of the last update on 2021-08-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.