Individual provider Active NPI

Brian Mark Schenberg, MD

  • Pediatrics Physician
  • Colonial Heights, VA
National Provider Identifier
1639115389
Registry record updated May 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101238784 Issued in VA
Practice address
210 Temple Ave
Colonial Heights, VA 23834-2828
Phone
(804) 520-6137
Fax
(804) 520-7394
NPI assigned
Jun 21, 2006
Last updated
May 15, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0101238784 VA Primary

Addresses

Primary practice location

210 Temple Ave
Colonial Heights, VA 23834-2828

Mailing address

210 Temple Ave
Colonial Heights, VA 23834-2828
Phone (804) 520-6137

Other identifiers 1

IdentifierTypeStateIssuer
1649483967OtherVAGROUP NPI

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
0101238784VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Pediatrics PastSince Jul 24, 2022 Accepting new patients
Infant Jesus Childrens Clinic PLC Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: brianschenberg@cpam.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337040000000",
    "number": "1639115389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 TEMPLE AVE",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342828",
            "telephone_number": "804-520-6137",
            "fax_number": "804-520-7394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 TEMPLE AVE",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342828",
            "telephone_number": "804-520-6137",
            "fax_number": "804-520-7394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHENBERG",
        "first_name": "BRIAN",
        "middle_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2012-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101238784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1649483967",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colonial Heights, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; 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.