Julius Gaiters
Individual provider Active NPI Contractor · Richmond, VA
NPI 1033891775 · NPPES record last updated Aug 10, 2023
Key facts
- NPI
- 1033891775
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- License
- T64256340 (VA)
- Practice address
- 2215 Byron St
Richmond, VA 23222-2443 - Phone
- (804) 424-3280
- Fax
- (804) 424-3281
- NPI assigned
- Aug 2, 2023
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T64256340 | VA | MD | Contractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | T64256340 | VA | Yes |
Addresses
Primary practice location
2215 Byron St
Richmond, VA 23222-2443
Mailing address
2215 Byron St
Richmond, VA 23222-2443
Phone (804) 424-3280
Other practice location 1
2215 Byron St
Richmond, VA 23222-2443
Phone (804) 424-3280
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.