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GREATER VIRGINIA MEDICAL GROUP NPI 1417978768


NPI Information

NPI: 1417978768
Provider Name: GREATER VIRGINIA MEDICAL GROUP
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2006 BREMO RD STE 101
RICHMOND, VA
ZIP 23226
Phone: (804) 282-9425
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GREATER VIRGINIA MEDICAL GROUP is a family medicine in Richmond, VA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. GREATER VIRGINIA MEDICAL GROUP NPI is 1417978768. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2006 BREMO RD STE 101
RICHMOND, VA
ZIP 23226-438
Phone: (804) 282-9425
Fax: (804) 282-6413

The provider's authorized official is Glen L Fox .
The authorized official title is Ceo and has the following contact phone number (804) 282-9425.

The enumeration date for this NPI number is 7/22/2006 and was last updated on 11/30/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalNo
22084P0800XPsychiatry & NeurologyPsychiatryNo
3103TC0700XPsychologistClinicalNo
4207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CL0385MEDICARE PINVIRGINIA
2C03204MEDICARE PINVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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