Individual provider Active NPI

David D. Spencer, D.O

  • Surgery Physician
  • Chesapeake, VA
National Provider Identifier
1225093529
Registry record updated May 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0102201265 Issued in VA
Practice address
113 Gainsborough SQ
Ste 400
Chesapeake, VA 23320-1713
Phone
(757) 842-4499
Fax
(757) 842-1447
NPI assigned
Apr 19, 2006
Last updated
May 28, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0102201265 VA Primary

Addresses

Primary practice location

113 Gainsborough SQ
Ste 400
Chesapeake, VA 23320-1713

Mailing address

113 Gainsborough SQ
Ste 400
Chesapeake, VA 23320-1713
Phone (757) 842-4499

Other identifiers 1

IdentifierTypeStateIssuer
007314256MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080421000074 VA Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 3779661509 Reassigns benefits to 2 organizations
I20170113001224 NC Practitioner - General Surgery 3779661509 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC CurrentSince Jan 1, 2020 Accepting new patients
Chesapeake Regional Medical Group CurrentSince Nov 1, 2012 Accepting new patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC Surgery CurrentSince Jan 1, 2020 Accepting new patients
Chesapeake Regional Medical Group Surgery CurrentSince Nov 1, 2012 Accepting new patients
Chesapeake Regional Medical Group Surgery CurrentSince Nov 1, 2016 Accepting new patients

Locations

534 Caratoke Hwy
Moyock, NC 27958
Phone (252) 435-6621

113 Gainsborough Sq
Ste 400
Chesapeake, VA 23320
Phone (757) 436-0167

300 Medical Pkwy
Chesapeake, VA 23320
Phone (757) 312-6102

150 Kingsley Ln
Norfolk, VA 23505
Phone (757) 464-6944

155 Kingsley Ln
Ste 405
Norfolk, VA 23505
Phone (757) 278-2220

8580 Magellan Pkwy
Richmond, VA 23227
Phone (804) 627-5462

5818 Harbour View Blvd
Ste 240
Suffolk, VA 23435
Phone (757) 397-2383

5818 Harbour View Blvd
Ste 250
Suffolk, VA 23435
Phone (757) 673-5890

5838 Harbour View Blvd
Ste 270
Suffolk, VA 23435
Phone (757) 541-1050

Organizations & group practices 5

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": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369699200000",
    "number": "1225093529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 GAINSBOROUGH SQ",
            "address_2": "STE 400",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233201713",
            "telephone_number": "757-842-4499",
            "fax_number": "757-842-1447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 GAINSBOROUGH SQ",
            "address_2": "STE 400",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233201713",
            "telephone_number": "757-842-4499",
            "fax_number": "757-842-1447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "DAVID",
        "middle_name": "D.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2013-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0102201265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007314256",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.