Individual provider Active NPI

Ernest Aubrey Murden Jr., M.D.

  • Specialist
  • Chesapeake, VA
National Provider Identifier
1497751762
Registry record updated May 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101016485 Issued in VA
Practice address
4020 Raintree Rd
Ste C
Chesapeake, VA 23321-3749
Phone
(757) 488-2080
Fax
(757) 405-3025
NPI assigned
Jun 22, 2005
Last updated
May 25, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0101016485 VA Primary
Specialist 174400000X 14468 NC

Addresses

Primary practice location

4020 Raintree Rd
Ste C
Chesapeake, VA 23321-3749

Mailing address

1245 Cedar Rd Ste G
PMB #312
Chesapeake, VA 23322-7141
Phone (757) 488-2080

Other identifiers 1

IdentifierTypeStateIssuer
006501320MedicaidVA

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14468NCMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400976000000",
    "number": "1497751762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 CEDAR RD STE G",
            "address_2": "PMB #312",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233227141",
            "telephone_number": "757-488-2080",
            "fax_number": "757-405-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 RAINTREE RD",
            "address_2": "STE C",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233213749",
            "telephone_number": "757-488-2080",
            "fax_number": "757-405-3025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURDEN",
        "first_name": "ERNEST",
        "middle_name": "AUBREY",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2014-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101016485",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "14468",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006501320",
            "state": "VA"
        }
    ],
    "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 May 25, 2014; 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.