NPIMap

Organization Active NPI

Greater Virginia Medical Group

  • Family Medicine Physician
  • Richmond, VA
National Provider Identifier
1417978768
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GREATER VIRGINIA MEDICAL GROUP
Practice address
2006 Bremo Rd Ste 101
Richmond, VA 23226-2438
Phone
(804) 282-9425
Fax
(804) 282-6413
NPI assigned
Jul 22, 2006
Last updated
Nov 30, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

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

Authorized official

Name
Glen L Fox
Title
Ceo
Phone
(804) 282-9425

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NU
Clinical Social Worker 1041C0700X NU
Family Medicine Physician 207Q00000X NU Primary
Psychiatry Physician 2084P0800X NU

Addresses

Primary practice location

2006 Bremo Rd Ste 101
Richmond, VA 23226-2438

Mailing address

PO Box 17085
Richmond, VA 23226-7085
Phone (804) 282-9425

National Provider Directory

National Provider Directory

Locations

2006 Bremo Rd
Richmond, VA 23226
Phone (804) 351-7056

5409 Hull St Rd
Richmond, VA 23224
Phone (804) 282-9425

6501 Jahnke Rd
Richmond, VA 23225
Phone (804) 282-9425

707 N Harrison St
Richmond, VA 23220
Phone (804) 282-9425

7101 Jahnke Rd
Ste 101
Richmond, VA 23225

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322611200000",
    "number": "1417978768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17085",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232267085",
            "telephone_number": "804-282-9425",
            "fax_number": "804-282-6413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 BREMO RD STE 101",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262438",
            "telephone_number": "804-282-9425",
            "fax_number": "804-282-6413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER VIRGINIA MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2011-11-30",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "GLEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-282-9425"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Nov 30, 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.

Verify at the official NPI Registry.