NPIMap

Organization Active NPI

Richeson Drive Pediatrics, Inc.

  • Pediatrics Physician
  • Lynchburg, VA
National Provider Identifier
1073618278
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
RICHESON DRIVE PEDIATRICS, INC.
Practice address
105 Richeson Dr
Lynchburg, VA 24501-2911
Phone
(434) 385-7776
Fax
(434) 385-5846
NPI assigned
Sep 13, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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. Bradley S. Malcolm, M.D.NPI 1194783878
Title
President
Phone
(434) 385-7776

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
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

105 Richeson Dr
Lynchburg, VA 24501-2911

Mailing address

105 Richeson Dr
Lynchburg, VA 24501-2911
Phone (434) 385-7776

National Provider Directory

National Provider Directory

Locations

301 Gristmill Dr
Forest, VA 24551
Phone (434) 299-8850

105 Richeson Dr
Lynchburg, VA 24501
Phone (434) 385-6000

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073618278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 RICHESON DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245012911",
            "telephone_number": "434-385-7776",
            "fax_number": "434-385-5846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 RICHESON DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245012911",
            "telephone_number": "434-385-7776",
            "fax_number": "434-385-5846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHESON DRIVE PEDIATRICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MALCOLM",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "434-385-7776",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.