RIVERSIDE PHYSICIAN SERVICES INC NPI 1114170446

NPI Information

  • NPI: 1114170446
  • Provider Name: RIVERSIDE PHYSICIAN SERVICES INC
  • Classification: Psychiatry & Neurology - 2084N0400X
  • Specialization: Neurology
  • Entity Type: Organization
  • Doing Business As: RIVERSIDE NEUROLOGY AND SLEEP SPECIALISTS
  • Address: 7547 MEDIAL DRIVE
    SUITE 1300
    GLOUCESTER, VA
    ZIP 23061
  • Phone: (804) 695-8550

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NPI Details

RIVERSIDE PHYSICIAN SERVICES INC is a neurology psychiatry neurology in Gloucester, VA. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. RIVERSIDE PHYSICIAN SERVICES INC NPI is 1114170446. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Riverside Neurology And Sleep Specialists.

The provider's business location address is:

7547 MEDIAL DRIVE
SUITE 1300
GLOUCESTER, VA
ZIP 23061
Phone: (804) 695-8550
Fax: (804) 695-8551

The provider's authorized official is Braden Miller .
The authorized official title is Cfo and has the following contact phone number (757) 316-5906.

The enumeration date for this NPI number is 10/30/2008 and was last updated on 9/21/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084S0012XPsychiatry & NeurologySleep MedicineVIRGINIANo
22084N0400XPsychiatry & NeurologyNeurologyVIRGINIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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