Active NPI
William T. Tucker, M.D.
- Family Medicine Physician
- Richmond, VA
National Provider Identifier
1326072778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101033528
- Practice address
- 2004 Bremo Rd
Ste. 201
Richmond, VA 23226-2442 - Phone
- (804) 239-1640
- Fax
- (804) 239-1655
- NPI assigned
- Jul 10, 2006
- Last updated
- Feb 4, 2022
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101033528 | VA | Primary |
Addresses
Primary practice location
2004 Bremo Rd
Ste. 201
Richmond, VA 23226-2442
Mailing address
2004 Bremo Rd
Ste. 201
Richmond, VA 23226-2442
Phone (804) 239-1640
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010420024 | Other | VA | MEDICAID OF VA |
| 1326072778 | Medicaid | VA | |
| 4073378 | Other | VA | AETNA LIFE |
| 43286 | Other | VA | SENTARA |
| 005610303 | Medicaid | VA | |
| 085091 | Other | VA | ANTHEM BCBS OF VA |
| 4073378 | Other | VA | AETNA HMO |
| 57302 | Other | VA | SOUTHERN HEALTH SERVICES |
| 1459024 | Other | VA | CIGNA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | WILLIAM.TUCKER@hca6.eclinicaldirectplus.com |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bon Secours-Virginia Healthsource | Family Medicine | Past | Accepting new patients |
| Harness Health Pharmacy - Central Pharmacy Services LLC | Past | Accepting new patients |
Interoperability endpoints
- william.tucker@hca6.eclinicaldirectplus.com
Organizations & group practices 2
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.
-
dba Tuckahoe Family Medical Center
- Family Medicine Physician
- Richmond, VA
- NPI 1528091808
-
dba Harness Health Pharmacy #502
- Community/Retail Pharmacy
- Richmond, VA
- NPI 1619222767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643932800000",
"number": "1326072778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2004 BREMO RD",
"address_2": "STE. 201",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232262442",
"telephone_number": "804-239-1640",
"fax_number": "804-239-1655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2004 BREMO RD",
"address_2": "STE. 201",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232262442",
"telephone_number": "804-239-1640",
"fax_number": "804-239-1655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "WILLIAM",
"middle_name": "T.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2022-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101033528",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID OF VA",
"identifier": "010420024",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1326072778",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA LIFE",
"identifier": "4073378",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA",
"identifier": "43286",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005610303",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS OF VA",
"identifier": "085091",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "4073378",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHERN HEALTH SERVICES",
"identifier": "57302",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1459024",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "WILLIAM.TUCKER@hca6.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "2004 Bremo Rd",
"address_2": "STE. 201",
"city": "Richmond",
"state": "VA",
"country_code": "US",
"postal_code": "232262442",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Feb 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.