Organization Active NPI

Patient First Richmond Medical Group

  • Urgent Care Clinic/Center
  • Fairfax, VA
National Provider Identifier
1134583008
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
PATIENT FIRST RICHMOND MEDICAL GROUP
Practice address
10100 Fairfax Blvd
Fairfax, VA 22030-2000
Phone
(703) 679-1876
Fax
(703) 679-1877
NPI assigned
Apr 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

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

Authorized official

Name
Mr. Marvin Warren Bridgers III, RPH
Title
VP, Pharmacy
Phone
(804) 822-4383

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary
Non-Pharmacy Dispensing Site 332900000X

Addresses

Primary practice location

10100 Fairfax Blvd
Fairfax, VA 22030-2000

Mailing address

5000 Cox Rd
Ste 100
Glen Allen, VA 23060-9263
Phone (804) 822-4383

Other names 1

  • Patient First Fairfax Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Patient First Richmond Med42 organizations share this tax ID, including this one

Other organizations with this tax ID 41

Organizations that report the same tax identification number in the National Provider Directory.

View all 41

Locations

10100 Fairfax Blvd
Fairfax, VA 22030
Phone (703) 679-1876

NPI Registry JSON

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

{
    "created_epoch": "1459987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609804800000",
    "number": "1134583008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 COX RD",
            "address_2": "STE 100",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230609263",
            "telephone_number": "804-822-4383",
            "fax_number": "804-965-0987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10100 FAIRFAX BLVD",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302000",
            "telephone_number": "703-679-1876",
            "fax_number": "703-679-1877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENT FIRST RICHMOND MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-07",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A",
        "authorized_official_last_name": "BRIDGERS",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "WARREN",
        "authorized_official_title_or_position": "VP, PHARMACY",
        "authorized_official_telephone_number": "804-822-4383",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patient First Fairfax",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Patient First Fairfax",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; 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.