Individual provider Active NPI

Eric Jonathan Freeman, MD

  • Pulmonary Disease Physician
  • Chesapeake, VA
National Provider Identifier
1184626947
Registry record updated Feb 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
0101023249 Issued in VA
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, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
6075932MedicaidVA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100818001308 VA Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 2365520566 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC CurrentSince Jan 1, 2020 Accepting new patients
Portsmouth Pulmonary Associates, LTD Pulmonary Disease Current Accepting new patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC Pulmonary Disease CurrentSince Jan 1, 2020 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.

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

Verify at the official NPI Registry.