Old Glory Personalized Health

Primary specialty

Critical Care Medicine (Anesthesiology) PhysicianTaxonomy code 207LC0200X

Legal business name

OLD GLORY PERSONALIZED HEALTH

Practice address

2108 W Laburnum Ave Ste 230
Richmond, VA 23227-4300

Phone

(804) 269-0637

Fax

(804) 441-7346

NPI assigned

Mar 9, 2026

Organization subpart

No

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

Authorized official

Name

Dr. Brooke Trainer, MDNPI 1285951244

Title

Ceo/Physician

Phone

(804) 269-0637

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 2

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

• Brooke Trainer, M.D

  • Anesthesiology Physician
  • Richmond, VA
  • NPI 1285951244

  Critical Care Medicine

  Medicare reassignment NPD Authorized official
• Kim Foster

  • Registered Nurse
  • Richmond, VA
  • NPI 1932978491
  NPD

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

{
    "created_epoch": "1773014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773014400000",
    "number": "1093661290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 W LABURNUM AVE STE 230",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232274300",
            "telephone_number": "804-269-0637",
            "fax_number": "804-441-7346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 W LABURNUM AVE STE 230",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232274300",
            "telephone_number": "804-269-0637",
            "fax_number": "804-441-7346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD GLORY PERSONALIZED HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-09",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A",
        "authorized_official_last_name": "TRAINER",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "CEO/PHYSICIAN",
        "authorized_official_telephone_number": "804-269-0637",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Old Dominion Home Health Services Inc
• Old Dominion Home Health Services Inc
• Old Dominion Medical Staffing Agency LLC
• Old Dominion Physical Medicine PLLC
• Old Glory Home Health Care & Assistive Care
• Robert A. Older, M.D.
• Sarah Katherine Oldham, PA, RDN
• Tawana Toneke Olds-Davis, L.C.S.W
• Tiffany P Olds, LCSW
• Kathleen Oleson, PCNP

• Critical Care Medicine (Anesthesiology) Physician in Richmond, VA
• Providers in Richmond, VA by specialty
• Critical Care Medicine (Anesthesiology) Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; 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.