Bluestone Physician Services Southeast LLC
Bluestone Physician Services Southeast LLC is a healthcare organization registered as Family Medicine Physician in Norfolk, VA, holding Type 2 (organization) NPI 1255945739 since 2020. The authorized official on file is Tim Koehler, Coo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1255945739 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Bluestone Physician Services Southeast LLC |
| Other name | <Unavail> |
| Practice address | 999 WATERSIDE DR STE 2525, Norfolk, VA, 23510 |
| Phone | 7577773433 |
| Fax | 8558183907 |
| Enumeration date | 2020-09-02 |
| Last updated in NPPES | 2020-10-22 |
Authorized official
| Name | Tim Koehler |
|---|---|
| Title | Coo |
| Phone | 6513421039 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208D00000X | General Practice Physician | Secondary | — | — |
| 207Q00000X | Family Medicine Physician | Primary | — | — |
Copy-ready billing details
Provider: Bluestone Physician Services Southeast LLC NPI: 1255945739 Taxonomy: 207Q00000X (Family Medicine Physician) Address: 999 WATERSIDE DR STE 2525, Norfolk, VA, 23510
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1801984984 | Vickie Hawkins | Individual | Clinical Social Worker | Norfolk, VA |
| 1679849277 | Berthina Mcgill | Individual | Mental Health Counselor | Norfolk, VA |
| 1437545340 | Samantha Brand | Individual | Family Medicine Physician | Norfolk, VA |
| 1568094225 | A Chance for Change LLC | Organization | Addiction (Substance Use Disorder) Counselor | Norfolk, VA |
| 1417573189 | Katina Dickson | Individual | Addiction (Substance Use Disorder) Counselor | Norfolk, VA |
| 1194336313 | Lifephysician, LLC | Organization | Primary Care Clinic/Center | Norfolk, VA |
| 1043817760 | Appendix Inc | Organization | Mental Health Counselor | Norfolk, VA |
| 1881293421 | Jamar Humphrey | Individual | Driver | Norfolk, VA |
Verify this record
Cross-check NPI 1255945739 against the authoritative CMS record: view Bluestone Physician Services Southeast LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Bluestone Physician Services Southeast LLC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-10-22.