SDM Virginia LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

SDM VIRGINIA LLC

Practice address

4198 Cox Rd Ste 109
Glen Allen, VA 23060-3328

Phone

(804) 967-9500

NPI assigned

Aug 20, 2018

Last updated

Oct 4, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David L Bryant

Title

Ceo

Phone

(980) 233-3200

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Khairul B Emran, M.D.

  • Internal Medicine Physician
  • Glen Allen, VA
  • NPI 1003036740
  NPD (past)

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1356821235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 ROBINWOOD RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280546689",
            "telephone_number": "980-233-3234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4198 COX RD STE 109",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230603328",
            "telephone_number": "804-967-9500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6127 Harbourside Centre Loop",
            "address_purpose": "LOCATION",
            "city": "Midlothian",
            "state": "VA",
            "postal_code": "231122162",
            "country_code": "US",
            "telephone_number": "980-233-3234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SDM VIRGINIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-20",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "980-233-3200"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Shank Schrinel, PA
• Joshua Schubert, LPC
• John Keith Scott, MD
• Melody K Scott, LPC
• Sarah Melissa Scott, PHD
• Awbrey Seals, DMD
• Lara S. Seavey, M.ED.
• Kyle Elizabeth Seedlock, M.D.
• Selah Counseling Services
• Kelly Allen Seltzer, CRNP

• Dermatology Physician in Glen Allen, VA
• Providers in Glen Allen, VA by specialty
• Dermatology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.