Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bluestone Physician Services Southeast LLC

Organization Family Medicine Physician · NPI 1255945739

Bluestone Physician Services Southeast LLC is a Family Medicine Physician in Norfolk, Virginia. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

999 Waterside Dr Ste 2525
Norfolk, VA 23510-3316
Phone: (757) 777-3433
Fax: (855) 818-3907
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
General Practice Physician Taxonomy 208D00000X

Record details

NPI number1255945739
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tim Koehler — Coo · (651) 342-1039
Other names Bluestone Physician Services Florida, Llc
NPI enumeratedSeptember 2, 2020
Last updated in NPPESOctober 22, 2020
Certification dateOctober 22, 2020
Mailing address270 Main St N Ste 300, Stillwater, MN 55082-6788

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