Organization Active NPI

Regenerative Medicine of Richmond LLC

  • General Practice Physician
  • Richmond, VA
National Provider Identifier
1346848975
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
REGENERATIVE MEDICINE OF RICHMOND LLC
Practice address
8639 Mayland Dr Ste 105
Richmond, VA 23294-4752
Phone
(804) 740-7105
NPI assigned
Oct 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Authorized official

Name
Bryant Deane Snyder, DCNPI 1609941673
Title
Owner
Phone
(804) 740-7105

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

8639 Mayland Dr Ste 105
Richmond, VA 23294-4752

Mailing address

8639 Mayland Dr Ste 105
Richmond, VA 23294-4752
Phone (804) 740-7105

Other names 1

  • Chronic Care of Richmond Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20201110003071 VA Part B Supplier - Clinic/Group Practice 3577973155 Receives reassigned benefits from 2 practitioners
Practice locations: Richmond, VA
O20231227001848 VA DME Supplier - Medical Supply Company 3577973155 Practice locations: Richmond, VA

National Provider Directory

National Provider Directory

Locations

8639 Mayland Dr
Ste 105
Richmond, VA 23294
Phone (804) 740-7105

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1346848975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8639 MAYLAND DR STE 105",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232944752",
            "telephone_number": "804-740-7105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8639 MAYLAND DR STE 105",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232944752",
            "telephone_number": "804-740-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENERATIVE MEDICINE OF RICHMOND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-15",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-19",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "BRYANT",
        "authorized_official_middle_name": "DEANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-740-7105",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chronic Care of Richmond",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Chronic Care of Richmond",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.