COMMONWEALTH PRIMARY CARE NPI 1336157858

NPI Information

  • NPI: 1336157858
  • Provider Name: COMMONWEALTH PRIMARY CARE
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • Doing Business As: CPC HOSPITALIST DIVISION
  • Address: 4050 INNSLAKE DR
    STE 308
    GLEN ALLEN, VA
    ZIP 23060
  • Phone: (804) 521-5310

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NPI Details

COMMONWEALTH PRIMARY CARE is an internal medicine in Glen Allen, VA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. COMMONWEALTH PRIMARY CARE NPI is 1336157858. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Cpc Hospitalist Division.

The provider's business location address is:

4050 INNSLAKE DR
STE 308
GLEN ALLEN, VA
ZIP 23060
Phone: (804) 521-5310
Fax: (804) 521-5312

The provider's authorized official is Kelly Shepherd .
The authorized official title is Hospitalist Administrator and has the following contact phone number (804) 521-5315.

The enumeration date for this NPI number is 8/3/2006 and was last updated on 11/8/2007.

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
1207Q00000XFamily MedicineNo
2207R00000XInternal 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1139440OTHERVIRGINIAANTHEM BCBS
2139444OTHERVIRGINIAANTHEM BCBS
3CC6597OTHERVIRGINIAMEDICARE RR
4C09088MEDICARE 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: 11/21/2025

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