Organization Active NPI

Bare Face Rva, LLC

  • Neurology Physician
  • Glen Allen, VA
National Provider Identifier
1124903901
Registry record updated Aug 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
BARE FACE RVA, LLC
Practice address
11535 Nuckols Rd Ste E
Glen Allen, VA 23059-5671
Phone
(804) 349-0291
NPI assigned
Aug 9, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2025

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

Authorized official

Name
Dr. Sherita Nicole Chapman, MDNPI 1144485244
Title
Owner/Physician
Phone
(804) 731-8903

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
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

11535 Nuckols Rd Ste E
Glen Allen, VA 23059-5671

Mailing address

4605 Broad Hill Dr
Henrico, VA 23233-7851
Phone (804) 731-8903

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251218001638 VA Part B Supplier - Clinic/Group Practice 4385139203 Receives reassigned benefits from 1 practitioner
Practice locations: Glen Allen, VA

National Provider Directory

National Provider Directory

Locations

11535 Nuckols Rd
Ste E
Glen Allen, VA 23059
Phone (803) 574-2463

Practitioners & affiliated clinicians

Practitioners 1

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": "1754697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754697600000",
    "number": "1124903901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4605 BROAD HILL DR",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232337851",
            "telephone_number": "804-731-8903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11535 NUCKOLS RD STE E",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230595671",
            "telephone_number": "804-349-0291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARE FACE RVA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-09",
        "last_updated": "2025-08-09",
        "certification_date": "2025-08-09",
        "status": "A",
        "authorized_official_last_name": "CHAPMAN",
        "authorized_official_first_name": "SHERITA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "804-731-8903",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2025; 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.