Organization Active NPI

Brothers Keeper Inc

  • Community/Behavioral Health Agency
  • Richmond, VA
National Provider Identifier
1306008438
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1088 Issued in VA
Legal business name
BROTHERS KEEPER INC
Practice address
4110 Fitzhugh Ave
Richmond, VA 23230-3827
Phone
(804) 353-3585
Fax
(804) 353-3588
NPI assigned
Jun 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Mr. David Earl Banks Jr.
Title
Program Director
Phone
(804) 353-3585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1088 VA Primary

Addresses

Primary practice location

4110 Fitzhugh Ave
Richmond, VA 23230-3827

Mailing address

4110 Fitzhugh Ave
Richmond, VA 23230-3827
Phone (804) 353-3585

National Provider Directory

National Provider Directory
Tax ID family
Brothers Keeper Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1306008438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 FITZHUGH AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303827",
            "telephone_number": "804-353-3585",
            "fax_number": "804-353-3588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 FITZHUGH AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303827",
            "telephone_number": "804-353-3585",
            "fax_number": "804-353-3588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROTHERS KEEPER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "804-353-3585",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "1088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; 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.