NPIMap

Organization Active NPI

Urology of VA PC

  • Durable Medical Equipment & Medical Supplies
  • Suffolk, VA
National Provider Identifier
1487783825
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
UROLOGY OF VA PC
Practice address
2790 Godwin Blvd Ste 225
Suffolk, VA 23434-8155
Phone
(757) 934-3006
NPI assigned
Mar 3, 2007
Last updated
Nov 20, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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

Authorized official

Name
Lori Delbridge
Title
Cbo Manager
Phone
(757) 466-3410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

2790 Godwin Blvd Ste 225
Suffolk, VA 23434-8155

Mailing address

PO Box 791254
Baltimore, MD 21279-1254

National Provider Directory

National Provider Directory
Tax ID family
Urology of Virgina PC13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

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": "1172880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1487783825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 791254",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212791254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 GODWIN BLVD STE 225",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348155",
            "telephone_number": "757-934-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY OF VA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-03",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "DELBRIDGE",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "CBO MANAGER",
        "authorized_official_telephone_number": "757-466-3410"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; 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.