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

Renaissance Medical Care

Organization Addiction Medicine (Family Medicine) Physician · NPI 1568977940

Renaissance Medical Care is an Addiction Medicine (Family Medicine) Physician in Bristol, Virginia. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
2

Practice location Address checks out

284 Blevins Blvd
Bristol, VA 24202
Phone: (276) 285-3911
Fax: (276) 285-3920
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X
Addiction Medicine (Family Medicine) Physician Taxonomy 207QA0401X

Record details

NPI number1568977940
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official George Halstead — President · (276) 285-3911
NPI enumeratedDecember 7, 2017
Last updated in NPPESMarch 25, 2019
Mailing address284 Blevins Boulevard, Bristol, VT 24202