Active NPI
David Alan Lekberg Jr., M.D.
- Psychiatry Physician
- Richmond, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 0101256773
- Practice address
- 1201 Broad Rock Blvd
Mental Health
Richmond, VA 23249-0001 - Phone
- (804) 675-5000
- NPI assigned
- May 31, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | VA | ||
| Psychiatry Physician | 2084P0800X | 0101256773 | VA | Primary |
Addresses
Primary practice location
1201 Broad Rock Blvd
Mental Health
Richmond, VA 23249-0001
Mailing address
1201 Broad Rock Blvd
Mental Health
Richmond, VA 23249-0001
Phone (804) 675-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
269 Medical Park Blvd
Petersburg, VA 23805-9337
Phone (804) 861-0700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101256773 | VA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia South Psychiatric & Family Services | Psychiatry | Current | Accepting new patients |
| Three Rivers Treatment Center LLC | Past | Accepting new patients |
Locations
13901 Coalfield Commons Pl
Midlothian, VA 23114
Phone (804) 420-1200
13901 Coalfield Commons Pl
Ste 102
Midlothian, VA 23114
Phone (804) 378-0800
269 Medical Park Blvd
Petersburg, VA 23805
Phone (804) 861-0700
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72142
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Petersburg, VA
- NPI 1700894466
-
dba Three Rivers Treatment Center
- Psychiatric Residential Treatment Facility
- Kenbridge, VA
- NPI 1568827780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464220800000",
"number": "1588925168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 BROAD ROCK BLVD",
"address_2": "MENTAL HEALTH",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232490001",
"telephone_number": "804-675-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 BROAD ROCK BLVD",
"address_2": "MENTAL HEALTH",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232490001",
"telephone_number": "804-675-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEKBERG",
"first_name": "DAVID",
"middle_name": "ALAN",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-31",
"last_updated": "2016-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "VA",
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0101256773",
"primary": true
}
],
"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 May 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.