Active NPI
Christopher Robert Gorman, MD
- Dermatology Physician
- Richmond, VA
National Provider Identifier
1346225802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 0101249555
- Practice address
- 420 Libbie Avenue
Richmond, VA 23226 - Phone
- (804) 288-4410
- Fax
- (804) 288-4458
- NPI assigned
- Dec 7, 2005
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 0101249555 | VA | Primary |
Addresses
Primary practice location
420 Libbie Avenue
Richmond, VA 23226
Mailing address
420 Libbie Avenue
Richmond, VA 23226
Phone (804) 288-4410
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 |
|---|---|---|---|
| 0101249555 | VA | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316044800000",
"number": "1346225802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 LIBBIE AVENUE",
"city": "RICHMOND",
"state": "VA",
"postal_code": "23226",
"telephone_number": "804-288-4410",
"fax_number": "804-288-4458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 LIBBIE AVENUE",
"city": "RICHMOND",
"state": "VA",
"postal_code": "23226",
"telephone_number": "804-288-4410",
"fax_number": "804-288-4458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORMAN",
"first_name": "CHRISTOPHER",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-07",
"last_updated": "2011-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "VA",
"license": "0101249555",
"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 Sep 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.