Individual
BERKELEY B MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13801 ST. FRANCIS BLVD., SUITE 200, MIDLOTHIAN, VA 23114
(804) 379-2414
Mailing address
1115 BOULDERS PKWY, STE 200, NORTH CHESTERFIELD, VA 23225-4067
(804) 915-4607
(804) 560-9029
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0101256133
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2010
Last updated
11/15/2021
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