Individual
DR. HENRI RENOM DE LA BAUME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17336 PICKWICK DR STE C, PURCELLVILLE, VA 20132-6180
(540) 338-3636
(540) 441-0301
Mailing address
190 CAMPUS BLVD STE 300, WINCHESTER, VA 22601-2872
(540) 667-1244
(540) 667-3086
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
D34498
MD
207RG0100X
Gastroenterology Physician
Primary
0101246329
VA
207RG0100X
Gastroenterology Physician
01068264A
IN
207RG0100X
Gastroenterology Physician
MD34498
MD
282N00000X
General Acute Care Hospital
01068264A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00892039
RAILROAD MEDICARE
IN
Enumeration date
12/02/2005
Last updated
02/23/2026
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