Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Serge E Depret-Guillaume, MD

Individual provider Family Medicine Physician · NPI 1063488534

Dr. Serge E Depret-Guillaume, MD is a Family Practice in Roanoke, Virginia. Graduated from University of Virginia School of Medicine in 1991, 35 years ago. Practices with Lewis Gale Physicians LLC, a 194-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
35
Trained at
University of Virginia School of Medicine
Licensed in
VA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4910 Valley View Blvd NW
Roanoke, VA 24012-2040
Phone: (540) 265-4210
Fax: (540) 265-4219
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 602 Brandon Ave Sw, Roanoke, VA 24015-3212 — (540) 774-0000

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0101048363 (VA)

Record details

NPI number1063488534
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 24, 2006
Last updated in NPPESFebruary 28, 2023
Certification dateFebruary 28, 2023

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Graduated 1991 (35 years in practice)
Group practice Lewis Gale Physicians Llc — 194 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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