Dva Vha Richmond

Primary specialty

PodiatristTaxonomy code 213E00000X

License

0116031054 Issued in VA

Legal business name

DVA VHA RICHMOND

Practice address

1201 Broad Rock Blvd
Richmond, VA 23249-0001

Phone

(804) 675-5000

NPI assigned

Jul 18, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Johnathan Brantley, DPM

Title

Podiatrist

Phone

(804) 675-5000

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dolly Dua, DPM

  • Student in an Organized Health Care Education/Training Program
  • Bronx, NY
  • NPI 1578115523
  NPD

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500336000000",
    "number": "1043733546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4112 WHITFORD CIR APT 206",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230604164",
            "telephone_number": "516-424-3745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 BROAD ROCK BLVD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232490001",
            "telephone_number": "804-675-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DVA VHA RICHMOND",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-18",
        "last_updated": "2017-07-18",
        "status": "A",
        "authorized_official_last_name": "BRANTLEY",
        "authorized_official_first_name": "JOHNATHAN",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "804-675-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "VA",
            "license": "0116031054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Duvall, DMD
• Margaret L. Duvall, PHD
• Dva Healthcare Renal Care Inc
• Dva Healthcare Renal Care Inc
• Dva Renal Healthcare Inc
• Mo'Tasem Zuhier (M. R.) Dweekat, MD
• Casey Dwyer, LCSW
• David Dwyer, MD
• Madelaine Thanh Tran Dye
• Angela Dyer, PHARM. D.

• Podiatrist in Richmond, VA
• Providers in Richmond, VA by specialty
• Podiatrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.