Virginia Child Neurology PC

Primary specialty

Pediatric Neurodevelopmental Disabilities PhysicianTaxonomy code 2080P0008X

License

0101016858 Issued in VA

Legal business name

VIRGINIA CHILD NEUROLOGY PC

Practice address

5875 Bremo Rd
Suite 700
Richmond, VA 23226

Phone

(804) 673-9600

Fax

(804) 673-8021

NPI assigned

Dec 14, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ronald D David, MD

Title

Medical Doctor Owner

Phone

(804) 673-9600

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• AKA Childrens Neurological Services Former legal business name

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184786428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5875 BREMO RD",
            "address_2": "SUITE 700",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23226",
            "telephone_number": "804-673-9600",
            "fax_number": "804-673-8021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5875 BREMO RD",
            "address_2": "SUITE 700",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23226",
            "telephone_number": "804-673-9600",
            "fax_number": "804-673-8021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA CHILD NEUROLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVID",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEDICAL DOCTOR  OWNER",
        "authorized_official_telephone_number": "804-673-9600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0008X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neurodevelopmental Disabilities",
            "state": "VA",
            "license": "0101016858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "012886",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6131875",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AKA Childrens Neurological Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Virginia Cancer Institute Incorporated (Progressive Pharmacy Care)
• Virginia Cancer Institute Incorporated (VCI Pathology Lab)
• Virginia Cancer Institute Incorporated
• Virginia Cardiovascular Specialists
• Virginia Child & Family Health Services, LLC
• Virginia Commonwealth University
• Virginia Commonwealth University
• Virginia Commonwealth University (VA Commonwealth University Sports Medicine)
• Virginia Commonwealth University
• Virginia Commonwealth University

• Pediatric Neurodevelopmental Disabilities Physician in Richmond, VA
• Providers in Richmond, VA by specialty
• Pediatric Neurodevelopmental Disabilities Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.