NPIMap

Organization Active NPI

Riverside Physician Services Inc

Doing business as Riverside Emergency Physicians

  • Emergency Medicine Physician
  • Williamsburg, VA
National Provider Identifier
1639418429
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
RIVERSIDE PHYSICIAN SERVICES INC
Doing business as
Riverside Emergency Physicians
Practice address
1500 Commonwealth Ave
Williamsburg, VA 23185-5229
Phone
(757) 585-2000
NPI assigned
Feb 14, 2013
Last updated
Nov 18, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
RIVERSIDE HEALTHCARE ASSOCIATION, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Authorized official

Name
Billie Jo Brown
Title
Credentialing Manager
Phone
(757) 316-5901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

1500 Commonwealth Ave
Williamsburg, VA 23185-5229

Mailing address

PO Box 75774
Baltimore, MD 21275-5774
Phone (866) 898-7012

Other practice location 1

500 J Clyde Morris Blvd
Newport News, VA 23601-1929
Phone (757) 612-8154

Other practice location 2

19339 Benns Grant Blvd
Smithfield, VA 23430-6393
Phone (757) 357-3282

Other practice location 3

7519 Hospital Dr
Gloucester, VA 23061-4178
Phone (804) 693-8899

Other practice location 4

20480 Market St
Onancock, VA 23417-4309
Phone (757) 302-2350

Other names 1

  • Riverside Emergency Physicians Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040207000400 VA Part B Supplier - Clinic/Group Practice 5092608448 Receives reassigned benefits from 1,191 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

National Provider Directory

Locations

12200 Warwick Blvd
Ste 410
Newport News, VA 23601
Phone (757) 534-5200

20486 Market St
Onancock, VA 23417
Phone (757) 302-2700

1500 Commonwealth Ave
Williamsburg, VA 23185
Phone (757) 585-2200

Practitioners & affiliated clinicians

Practitioners 217

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 217

NPI Registry JSON

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

{
    "created_epoch": "1360800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1639418429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 75774",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212755774",
            "telephone_number": "866-898-7012",
            "fax_number": "904-805-1037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 COMMONWEALTH AVE",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231855229",
            "telephone_number": "757-585-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 J Clyde Morris Blvd",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236011929",
            "country_code": "US",
            "telephone_number": "757-612-8154",
            "fax_number": "757-594-2196",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19339 Benns Grant Blvd",
            "address_purpose": "LOCATION",
            "city": "Smithfield",
            "state": "VA",
            "postal_code": "234306393",
            "country_code": "US",
            "telephone_number": "757-357-3282",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7519 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Gloucester",
            "state": "VA",
            "postal_code": "230614178",
            "country_code": "US",
            "telephone_number": "804-693-8899",
            "fax_number": "804-693-8810",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20480 Market St",
            "address_purpose": "LOCATION",
            "city": "Onancock",
            "state": "VA",
            "postal_code": "234174309",
            "country_code": "US",
            "telephone_number": "757-302-2350",
            "fax_number": "757-789-0615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RIVERSIDE PHYSICIAN SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RIVERSIDE HEALTHCARE ASSOCIATION, INC",
        "enumeration_date": "2013-02-14",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "BILLIE JO",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "757-316-5901"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Emergency Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Williamsburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.