Active NPI
G. Bryan Duck, M.D.
- Urology Physician
- Richmond, VA
National Provider Identifier
1306800867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 0101 032021
- Practice address
- 9101 Stony Point Dr
Richmond, VA 23235 - Phone
- (804) 330-9105
- Fax
- (804) 287-6119
- NPI assigned
- Apr 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 0101 032021 | VA | Primary |
Addresses
Primary practice location
9101 Stony Point Dr
Richmond, VA 23235
Mailing address
9101 Stony Point Dr
Richmond, VA 23235
Phone (804) 330-9105
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 24387 | Other | VA | ALLIANCE |
| 59289 | Other | VA | SOUTHERN HEALTH |
| 007590792 | Medicaid | VA | |
| 340001590 | Other | VA | RAILROAD MEDICARE |
| 56379 | Other | VA | CARENET |
| 2106 | Other | VA | CIGNA |
| 7904719 | Other | VA | AETNA HMO |
| C01241 | Other | VA | MEDICARE GROUP # |
| CL9160 | Other | VA | RAILROAD MEDICARE GROUP # |
| 1900469 | Other | VA | UNITED HEALTHCARE |
| 4063365 | Other | VA | AETNA PPO |
| 45721 | Other | VA | SENTARA FAMILY CARE |
| 641999000-00 | Other | VA | QUALCHOICE |
| 223284518 | Other | VA | TRICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101 032021 | VA | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Urology Center-Hopewell | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Hopewell, VA
- NPI 1447376710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539561600000",
"number": "1306800867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9101 STONY POINT DR",
"city": "RICHMOND",
"state": "VA",
"postal_code": "23235",
"telephone_number": "804-330-9105",
"fax_number": "804-287-6119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9101 STONY POINT DR",
"city": "RICHMOND",
"state": "VA",
"postal_code": "23235",
"telephone_number": "804-330-9105",
"fax_number": "804-287-6119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUCK",
"first_name": "G.",
"middle_name": "BRYAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-13",
"last_updated": "2018-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "VA",
"license": "0101 032021",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALLIANCE",
"identifier": "24387",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHERN HEALTH",
"identifier": "59289",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007590792",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "340001590",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARENET",
"identifier": "56379",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2106",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "7904719",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP #",
"identifier": "C01241",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE GROUP #",
"identifier": "CL9160",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1900469",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "4063365",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA FAMILY CARE",
"identifier": "45721",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUALCHOICE",
"identifier": "641999000-00",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "223284518",
"state": "VA"
}
],
"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 Oct 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.