Chester Square Family Practice, PLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101052854 Issued in VA

Legal business name

CHESTER SQUARE FAMILY PRACTICE, PLC

Practice address

4619 Chester Square Road
Chester, VA 23831-1726

Phone

(804) 778-4747

Fax

(804) 778-4487

NPI assigned

Dec 28, 2007

Last updated

Oct 22, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Brian Grieg Burijon, M.D.NPI 1386638641

Title

M.D./Business Owner

Phone

(804) 778-4747

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian G Burijon, MD

  • Family Medicine Physician
  • Chester, VA
  • NPI 1386638641
  Medicare reassignment Care Compare group NPD Authorized official
• Shannon Rhodes, NP-C

  • Family Nurse Practitioner
  • Glen Allen, VA
  • NPI 1952054231
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224633600000",
    "number": "1023292885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4619 CHESTER SQUARE ROAD",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238311726",
            "telephone_number": "804-778-4747",
            "fax_number": "804-778-4487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4619 CHESTER SQUARE ROAD",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238311726",
            "telephone_number": "804-778-4747",
            "fax_number": "804-778-4487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTER SQUARE FAMILY PRACTICE, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-28",
        "last_updated": "2008-10-22",
        "status": "A",
        "authorized_official_last_name": "BURIJON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "GRIEG",
        "authorized_official_title_or_position": "M.D./BUSINESS OWNER",
        "authorized_official_telephone_number": "804-778-4747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101052854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Chambers, DDS
• Chester Family Chiropractic Center P C
• Chester Family Medcare PC
• Chester Oral Surgery, PC
• Chester Pediatrics
• Chesterfield Healthcare Group, Inc. (Tyler's Retreat at Iron Bridge)
• Margaret CHI, DO
• Childlike Faith Family Services, Inc
• Childlike Faith Services, LLC
• Chippenham & Johnston Willis Sports Medicine, LLC (CJW Sports Medicine, LLC)

• Family Medicine Physician in Chester, VA
• Providers in Chester, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.