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

Jared M Bethel

Individual provider Physician Assistant · NPI 1295529683

Jared M Bethel is a Physician Assistant in Norfolk, Virginia. Qualified in 2025, 1 year ago. Practices with Emergency Physicians of Tidewater, a 165-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
1
Licensed in
VA
In the registry since
2025
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Practice location Address checks out

6379 Center Dr
Norfolk, VA 23502-4102
Phone: (757) 467-4200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110011024 (VA)

Record details

NPI number1295529683
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 8, 2025
Last updated in NPPESDecember 9, 2025
Certification dateDecember 9, 2025
Mailing address6379 Center Dr, Norfolk, VA 23502-4102

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Emergency Physicians Of Tidewater — 165 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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