Michael Gardner, D.O.
Family Medicine Physician · Suffolk, VA
Michael Gardner, D.O. is a family medicine physician with a practice address in Suffolk, Virginia, and NPI 1336299122, issued on Jan 12, 2007. Check the license (Virginia 0102203325, as entered in NPPES) on the Virginia Department of Health Professions; the Medicare figures below come from public CMS files.
- Name
- Michael Gardner
- Credential
- D.O.
- Primary taxonomy
- Family Medicine Physician 207Q00000X
- License number
- 0102203325 VA
Self-reported in NPPES; status is on the state search - Practice location
- 1540 Breezeport Way Ste 100, Suffolk, VA 23435
- Phone
- (757) 538-7275
- Enumerated
- Jan 12, 2007
- Record last updated
- Mar 4, 2026
- Fax
- (757) 335-7230
- Medicaid ID
- 1336299122 VA
- Medicare enrollment
- Enrolled (PECOS I20260506001621); accepts Medicare assignment
- Medical or professional school
- Philadelphia College Of Osteopathic Medicine, 2006
- Entity
- Type 1 · individual
8 nearest family medicine physician records → All 4,137 in Virginia → Look up another NPI →
Also registered at 1540 Breezeport Way Ste 100
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Michael Gardner in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersVirginia Department of Health Professions
Search for license 0102203325Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Tidewater Physicians Multispecialty Group, PCSuffolk, VA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Michael Gardner among 4,137 family medicine physician records in Virginia
Michael Gardner, D.O. is one of 4,137 family medicine physician records with a practice address in Virginia. 74% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 50% of them.
- NPI issued2007 · 50% of these records are older, 41% newer
- In a Medicare fileYes · 74% of these records are
- In the CMS Doctors and Clinicians fileYes · 59% of these records are
- Graduated2006 · median 2004 among the 2,426 with a school on file
- Record last updated2026 · 54% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Q00000X and a Virginia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
46 family medicine physician records list a practice address in Suffolk
They are 46 of the 1,438 NPPES records with a practice address in Suffolk, and 4,137 family medicine physician records in Virginia.
All 4,137 in Virginia → Every provider in Suffolk → Family Medicine Physician nationwide →
The 8 family medicine physician records with the nearest ZIP codes
- Nikki Graves, MDSuffolk, VA 234351780702365
- Dena Hall, MDSuffolk, VA 234351891794863
- Frank Huffman, MDSuffolk, VA 234351467443549
- Rosa Javier, M.D.Suffolk, VA 234351295849925
- Prashanthi Koduri, M.D.Suffolk, VA 234351891744603
- Vivian Mapanao, MDSuffolk, VA 234351629233242
- Margie Pascual, M.DSuffolk, VA 234351164687190
- Thankam Pillai, MDSuffolk, VA 234351538105200
Common questions
What is Michael Gardner, D.O.'s NPI number?
Michael Gardner, D.O.'s National Provider Identifier (NPI) is 1336299122, issued on Jan 12, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Michael Gardner, D.O. located?
The NPPES record lists a practice address at 1540 Breezeport Way Ste 100, Suffolk, VA, 23435. Phone: (757) 538-7275. Providers update this record themselves, so call before visiting.
How can I verify Michael Gardner, D.O.'s license?
NPPES lists Virginia license number 0102203325, as entered by the provider. Search the Virginia Department of Health Professions at https://dhp.virginiainteractive.org/lookup/index. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.