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

Tarah L Henderson-Toderic, DO

Individual provider Family Medicine Physician · NPI 1669950879

Tarah L Henderson-Toderic, DO is a Family Practice in Colonial Heights, Virginia. Graduated from Edward via Col of Osteo Medicine-Carolinas Campus in 2018, 8 years ago. Practices with Bon Secours Medical Group Richmond Primary Care LLC, a 92-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Alabama, Georgia and Virginia.

Years since qualifying
8
Trained at
Edward via Col of Osteo Medicine-Carolinas Campus
Licensed in
AL, GA, VA
In the registry since
2018
Specialties on file
3
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

436 Clairmont Ct Ste 100
Colonial Heights, VA 23834-1765
Phone: (804) 526-2121
Fax: (804) 504-4634
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 56-117 Pualalea St, Kahuku, HI 96731-2052 — (706) 414-4731

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0102209788 (VA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 85873 (GA)
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X · Licence 2572 (AL)

Record details

NPI number1669950879
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 31, 2018
Last updated in NPPESNovember 13, 2025
Certification dateNovember 13, 2025
Mailing address56-117 Pualalea St, Kahuku, HI 96731-2052

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolEDWARD VIA COL OF OSTEO MEDICINE-CAROLINAS CAMPUS
Graduated 2018 (8 years in practice)
Group practice Bon Secours Medical Group Richmond Primary Care Llc — 92 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Colonial Heights