OrganizationActive
Intrepid of Tidewater, Inc.
NPI 1245904994 · Hospice and Palliative Medicine (Family Medicine) Physician · Radford, VA
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
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
101 W Main St
Radford, VA 24141-1582
Phone: (540) 639-3280
Street-level locationGet directions
Mailing address
3220 Keller Springs Rd Ste 108
Carrollton, TX 75006-5911
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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.