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

Dr. Michael Gardner, DO

Individual provider Family Medicine Physician · NPI 1336299122

Dr. Michael Gardner, DO is registered under Family Practice in Suffolk, Virginia. Graduated from Philadelphia College of Osteopathic Medicine in 2006, 20 years ago. Practices with Tidewater Physicians Multispecialty Group, PC, a 269-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
20
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
VA
In the registry since
2007
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1540 Breezeport Way Ste 100
Suffolk, VA 23435-3752
Phone: (757) 538-7275
Fax: (757) 335-7230
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 620 Jhn Paul Jns Cir, Portsmouth, VA 23708-2111 — (757) 953-4545

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0102203325 (VA)

Record details

NPI number1336299122
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJanuary 12, 2007
Last updated in NPPESMarch 4, 2026
Certification dateMarch 4, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2006 (20 years in practice)
Group practice Tidewater Physicians Multispecialty Group, Pc — 269 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Tidewater Physicians Multispecialty Group, PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 269 clinicians in the practice; 12 are shown here.

Other providers in Suffolk