Individual provider Active NPI

Matthew Brinson Zydron, CPO

  • Prosthetist
  • Chesapeake, VA
National Provider Identifier
1477422905
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
License
CPO02937 Issued in VA
Practice address
4057 Taylor Rd Ste P
Chesapeake, VA 23321-5527
Phone
(757) 673-2000
Fax
(757) 695-2722
NPI assigned
Nov 3, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetist 224P00000X CPO02937 VA Primary

Addresses

Primary practice location

4057 Taylor Rd Ste P
Chesapeake, VA 23321-5527

Mailing address

9000 Ferry Point Rd
Suffolk, VA 23432-1501
Phone (757) 673-2000

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CPO02937VAMDProsthetist

NPI Registry JSON

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

{
    "created_epoch": "1762128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1477422905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 FERRY POINT RD",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234321501",
            "telephone_number": "757-673-2000",
            "fax_number": "757-695-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4057 TAYLOR RD STE P",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233215527",
            "telephone_number": "757-673-2000",
            "fax_number": "757-695-2722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZYDRON",
        "first_name": "MATTHEW",
        "middle_name": "BRINSON",
        "name_prefix": "Mr.",
        "credential": "CPO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-11-03",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "VA",
            "license": "CPO02937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; 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.