Organization Active NPI

GFC Management Group

  • Chiropractor
  • Chesapeake, VA
National Provider Identifier
1073600201
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
GFC MANAGEMENT GROUP
Practice address
801 Volvo Pkwy
Ste 118
Chesapeake, VA 23320-2811
Phone
(757) 436-6677
Fax
(757) 436-6789
NPI assigned
Oct 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. James E Trudeau, D.C.NPI 1134216534
Title
Trustee
Phone
(757) 436-6677

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X VA Primary

Addresses

Primary practice location

801 Volvo Pkwy
Ste 118
Chesapeake, VA 23320-2811

Mailing address

801 Volvo Pkwy
Ste 118
Chesapeake, VA 23320-2811
Phone (757) 436-6677

Other identifiers 3

IdentifierTypeStateIssuer
073643OtherVAANTHEMBCBS, GROUP #
073645OtherVAANTHEMBCBS,DR. JIM, IND#
073646OtherVAANTHEMBCBS,DR. JULIA,IND#

Other names 1

  • Greenbrier Family Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070514000051 VA Part B Supplier - Clinic/Group Practice 7113986779 Receives reassigned benefits from 2 practitioners
Practice locations: Chesapeake, VA

National Provider Directory

National Provider Directory

Locations

630 Skylark Dr
Ste K
Charleston, SC 29407
Phone (843) 225-9355

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073600201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 VOLVO PKWY",
            "address_2": "STE 118",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202811",
            "telephone_number": "757-436-6677",
            "fax_number": "757-436-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 VOLVO PKWY",
            "address_2": "STE 118",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202811",
            "telephone_number": "757-436-6677",
            "fax_number": "757-436-6789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GFC MANAGEMENT GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TRUDEAU",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "TRUSTEE",
        "authorized_official_telephone_number": "757-436-6677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEMBCBS, GROUP #",
            "identifier": "073643",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEMBCBS,DR. JIM, IND#",
            "identifier": "073645",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEMBCBS,DR. JULIA,IND#",
            "identifier": "073646",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenbrier Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.