Worship and Praises Pentecostal

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

0117004528 Issued in VA

Legal business name

WORSHIP AND PRAISES PENTECOSTAL

Practice address

4011 Newbys Bridge Rd
Chesterfield, VA 23832-7722

Phone

(804) 687-1054

Fax

(804) 454-3080

NPI assigned

Nov 11, 2010

Last updated

Nov 11, 2010By 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. Edward Brisco, BS RRT CRTT NA

Title

Director

Phone

(804) 687-1054

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1289433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289433600000",
    "number": "1205137924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4011 NEWBYS BRIDGE RD",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238327722",
            "telephone_number": "804-687-1054",
            "fax_number": "804-454-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 NEWBYS BRIDGE RD",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238327722",
            "telephone_number": "804-687-1054",
            "fax_number": "804-454-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORSHIP AND PRAISES PENTECOSTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-11",
        "last_updated": "2010-11-11",
        "status": "A",
        "authorized_official_last_name": "BRISCO",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "804-687-1054",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BS RRT CRTT NA"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "VA",
            "license": "0117004528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF MEDICINE",
            "identifier": "0117004528",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ereka Wood
• Alexis Juliann Wooden
• Sarah Woodhouse, MD
• Travis Woods Jr.
• Lisa Worley, CPHT
• Wright-Sized Wellness, Inc.
• Christie Denise Young
• Joshua Ling Zhang, PHARMD
• Casanndra Zierhart, PA-C
• Stephanie R Zoller, MSDD, MSN, RN

• Oxygen Equipment & Supplies (DME) in Chesterfield, VA
• Providers in Chesterfield, VA by specialty
• Oxygen Equipment & Supplies (DME) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2010; 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.