Active NPI
Appomattox River Primary Care, LLC
- Internal Medicine Physician
- Hopewell, VA
National Provider Identifier
1023764982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- APPOMATTOX RIVER PRIMARY CARE, LLC
- Practice address
- 815 W Poythress St
Hopewell, VA 23860-2532 - Phone
- (804) 458-8557
- Fax
- (804) 541-7113
- NPI assigned
- Mar 1, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Suzanne Bergamo
- Title
- Division VP/Ao
- Phone
- (804) 267-5950
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
815 W Poythress St
Hopewell, VA 23860-2532
Mailing address
2000 Health Park Dr
Brentwood, TN 37027-4692
Phone (615) 373-7406
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2263145 | Appomattox River Primary Care LLC | Certificate of waiver | Jun 22, 2028 |
National Provider Directory
National Provider DirectoryLocations
3512 Boulevard
Colonial Hgts, VA 23834
Phone (804) 520-1110
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Hopewell, VA
- NPI 1306959895
-
- Internal Medicine Physician
- Hopewell, VA
- NPI 1942273909
-
- Nurse Practitioner
- Hopewell, VA
- NPI 1699748905
-
- Internal Medicine Physician
- Hopewell, VA
- NPI 1760454276
-
- Nurse Practitioner
- Hopewell, VA
- NPI 1306819628
-
- Family Nurse Practitioner
- Colonial Heights, VA
- NPI 1609612761
-
- Adult Health Nurse Practitioner
- Vanceboro, NC
- NPI 1215493572
-
- Family Medicine Physician
- Fairfax, VA
- NPI 1881649424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646092800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763596800000",
"number": "1023764982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 HEALTH PARK DR",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370274692",
"telephone_number": "615-373-7406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 W POYTHRESS ST",
"city": "HOPEWELL",
"state": "VA",
"postal_code": "238602532",
"telephone_number": "804-458-8557",
"fax_number": "804-541-7113"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "APPOMATTOX RIVER PRIMARY CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-01",
"last_updated": "2025-11-20",
"certification_date": "2025-11-20",
"status": "A",
"authorized_official_last_name": "BERGAMO",
"authorized_official_first_name": "SUZANNE",
"authorized_official_title_or_position": "DIVISION VP/AO",
"authorized_official_telephone_number": "804-267-5950"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hopewell, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.