Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Intrepid of Tidewater, Inc

Organization Hospice and Palliative Medicine (Family Medicine) Physician · NPI 1245904994

Intrepid of Tidewater, Inc provides Hospice and Palliative Medicine (Family Medicine) Physician services in Radford, Virginia. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

101 W Main St
Radford, VA 24141-1582
Phone: (540) 639-3280
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospice and Palliative Medicine (Family Medicine) Physician (primary) Taxonomy 207QH0002X

Record details

NPI number1245904994
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Parker — Chief Compliance Officer · (214) 445-3750
Other names Intrepid Palliative & Supportive Care
NPI enumeratedAugust 5, 2021
Last updated in NPPESAugust 5, 2021
Certification dateAugust 5, 2021
Mailing address3220 Keller Springs Rd Ste 108, Carrollton, TX 75006-5911