Active NPI
Eric Jonathan Freeman, MD
- Pulmonary Disease Physician
- Chesapeake, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 0101023249
- Practice address
- 4053 Taylor Rd
Ste N
Chesapeake, VA 23321-5537 - Phone
- (757) 484-5900
- Fax
- (757) 483-6671
- NPI assigned
- Aug 11, 2005
- Last updated
- Feb 27, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 0101023249 | VA | Primary |
Addresses
Primary practice location
4053 Taylor Rd
Ste N
Chesapeake, VA 23321-5537
Mailing address
4053 Taylor Rd
Ste N
Chesapeake, VA 23321-5537
Phone (757) 484-5900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6075932 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bon Secours Medical Group Hampton Roads Specialty Care LLC | Current | Accepting new patients | |
| Portsmouth Pulmonary Associates, LTD | Pulmonary Disease | Current | Accepting new patients |
| Bon Secours Medical Group Hampton Roads Specialty Care LLC | Pulmonary Disease | Current | Accepting new patients |
Locations
4053 Taylor Rd
Ste N
Chesapeake, VA 23321
Phone (757) 484-5900
150 Kingsley Ln
Norfolk, VA 23505
Phone (757) 464-6944
8580 Magellan Pkwy
Richmond, VA 23227
Phone (804) 627-5462
5838 Harbour View Blvd
Ste 270
Suffolk, VA 23435
Phone (757) 541-1050
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Cardiovascular Disease Physician
- Richmond, VA
- NPI 1629637475
Pulmonary Disease
-
dba Southampton Orthopaedic and Sports Medicine Center
- Durable Medical Equipment & Medical Supplies
- Franklin, VA
- NPI 1205451028
-
- Pulmonary Disease Physician
- Chesapeake, VA
- NPI 1437255510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424995200000",
"number": "1184626947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4053 TAYLOR RD",
"address_2": "STE N",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233215537",
"telephone_number": "757-484-5900",
"fax_number": "757-483-6671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4053 TAYLOR RD",
"address_2": "STE N",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233215537",
"telephone_number": "757-484-5900",
"fax_number": "757-483-6671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMAN",
"first_name": "ERIC",
"middle_name": "JONATHAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-11",
"last_updated": "2015-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "VA",
"license": "0101023249",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6075932",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
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 Feb 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.