NPIMap

Organization Active NPI

Bayview Physician Services, PC

  • Family Medicine Physician
  • Chesapeake, VA
National Provider Identifier
1508813387
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BAYVIEW PHYSICIAN SERVICES, PC
Practice address
3241 Western Branch Blvd
Chesapeake, VA 23321-5260
Phone
(757) 686-3508
Fax
(757) 686-0541
NPI assigned
May 27, 2006
Last updated
Dec 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Authorized official

Name
Jeffrey David FormanNPI 1649233917
Title
Director
Phone
(757) 686-3508

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X NU
Family Medicine Physician 207Q00000X NU Primary
Internal Medicine Physician 207R00000X NU
Cardiovascular Disease Physician 207RC0000X NU
Critical Care Medicine (Internal Medicine) Physician 207RC0200X NU
Endocrinology, Diabetes & Metabolism Physician 207RE0101X NU
Pulmonary Disease Physician 207RP1001X NU
Rheumatology Physician 207RR0500X NU
Obstetrics & Gynecology Physician 207V00000X NU
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X NU
Pediatrics Physician 208000000X NU
Surgery Physician 208600000X NU
Colon & Rectal Surgery Physician 208C00000X NU
Podiatrist 213E00000X NU
Sleep Medicine (Internal Medicine) Physician 207RS0012X NU

Addresses

Primary practice location

3241 Western Branch Blvd
Chesapeake, VA 23321-5260

Mailing address

3241 Western Branch Blvd
Chesapeake, VA 23321-5260
Phone (757) 686-3508

Other practice location 1

6025 Providence Rd
VA Beach, VA 23464-3808
Phone (757) 474-7447

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031231000719 VA Part B Supplier - Clinic/Group Practice 5597664201 Receives reassigned benefits from 640 practitioners
Practice locations: Virginia Beach, VA; Suffolk, VA; Chesapeake, VA; Portsmouth, VA; Carrollton, VA; Franklin, VA; Norfolk, VA

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

20209 Sentara Way
Ste 104
Carrollton, VA 23314
Phone (757) 357-5307

1024 Battlefield Blvd S
Chesapeake, VA 23322
Phone (757) 410-4488

111 Mill Creek Pkwy
Chesapeake, VA 23323
Phone (757) 558-8210

129 Hanbury Rd W
Ste 103
Chesapeake, VA 23322
Phone (757) 363-1000

1419 Cedar Rd
Chesapeake, VA 23322
Phone (757) 842-6180

300 Medical Pkwy
Ste 106
Chesapeake, VA 23320
Phone (757) 410-0101

676 Kingsborough Sq
Ste B
Chesapeake, VA 23320
Phone (757) 548-3800

713 Volvo Pkwy
Ste 101
Chesapeake, VA 23320
Phone (757) 842-4115

725 Volvo Pkwy
Chesapeake, VA 23320
Phone (757) 548-0076

2203 E Little Creek Rd
Norfolk, VA 23518
Phone (757) 583-2181

400 W Brambleton Ave
Ste 104
Norfolk, VA 23510
Phone (757) 533-9642

7924 Chesapeake Blvd
Norfolk, VA 23518
Phone (757) 587-0157

3235 Bridge Rd
Ste 15
Suffolk, VA 23435
Phone (757) 606-1656

1120 First Colonial Rd
Ste 203
Virginia Beach, VA 23454
Phone (757) 481-4424

1270 Diamond Springs Rd
Virginia Beach, VA 23455
Phone (757) 464-6944

1788 Republic Rd
Ste 300
Virginia Beach, VA 23454
Phone (757) 481-0898

1975 Glenn Mitchell Dr
Ste 302
Virginia Beach, VA 23456
Phone (757) 481-2515

2075 Glenn Mitchell Dr
Ste 300
Virginia Beach, VA 23456
Phone (757) 821-2825

Practitioners & affiliated clinicians

Practitioners 652

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.

View all 652

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767052800000",
    "number": "1508813387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3241 WESTERN BRANCH BLVD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233215260",
            "telephone_number": "757-686-3508",
            "fax_number": "757-686-0541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3241 WESTERN BRANCH BLVD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233215260",
            "telephone_number": "757-686-3508",
            "fax_number": "757-686-0541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6025 Providence Rd",
            "address_purpose": "LOCATION",
            "city": "VA Beach",
            "state": "VA",
            "postal_code": "234643808",
            "country_code": "US",
            "telephone_number": "757-474-7447",
            "fax_number": "757-474-7477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BAYVIEW PHYSICIAN SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A",
        "authorized_official_last_name": "FORMAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "757-686-3508"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Dec 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.