Individual
DR. REX D. BIEDENBENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4624 MISTRAL LN, VIRGINIA BEACH, VA 23456-5057
(757) 303-6023
Mailing address
4624 MISTRAL LN, VIRGINIA BEACH, VA 23456-5057
(757) 303-6023
(757) 767-7493
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101058925
VA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
0101058925
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-022
TRICARE/CHAMPUS
VA
05
—
005849829
—
VA
01
—
063W5
BC/BS
NC
01
—
34572
SENTARA/OPTIMA
VA
01
—
382958
ANTHEM
VA
01
—
885932
UHC/MAMSI
VA
05
—
89063W5
—
NC
01
—
PAR
FIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY
VA
Enumeration date
02/03/2006
Last updated
12/20/2024
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