NPIMap

Individual provider Active NPI

Shannon Elynn Brim, MD

  • Obstetrics & Gynecology Physician
  • North Chesterfield, VA
National Provider Identifier
1659574598
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0101249872 Issued in VA
Practice address
1212 Koger Center Blvd
North Chesterfield, VA 23235-4778
Phone
(804) 897-2100
NPI assigned
Jun 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0101249872 VA Primary

Addresses

Primary practice location

1212 Koger Center Blvd
North Chesterfield, VA 23235-4778

Mailing address

1212 Koger Center Blvd
North Chesterfield, VA 23235-4778
Phone (804) 897-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110922000418 VA Practitioner - Obstetrics/Gynecology 3476724410 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Virginia School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Physicians for Women, LTDGroup PAC ID 8628057924, 46 clinicians

Practice addresses (Care Compare)

1212 Koger Ctr Blvd
North Chesterfield, VA 23235-4778
Phone (804) 897-2100

Hospital & facility affiliations

  • Bon Secours St Francis Medical Center Hospital, Midlothian, VA, CCN 490136
  • John Randolph Medical Center Hospital, Hopewell, VA, CCN 490020
  • CJW Medical Center Hospital, Richmond, VA, CCN 490112

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Physicians for Women LTD Obstetrics & Gynecology CurrentSince Aug 15, 2011 Accepting new patients
Central Virginia Gynecologic Oncology PC Past Accepting new patients
Anesthesia Associates of Richmond, Inc Past Accepting new patients

Locations

13801 St Francis Blvd
Ste 150
Midlothian, VA 23114

10710 Midlothian Tpke
Ste 200
North Chesterfield, VA 23235

1212 Koger Center Blvd
North Chesterfield, VA 23235
Phone (804) 408-4654

1775 Lake Harley Dr
Prince George, VA 23875

Interoperability endpoints

  • Direct secure messaging: shannon.brim@vpfw.gwaydirect.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.405

Organizations & group practices 3

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1659574598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 KOGER CENTER BLVD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354778",
            "telephone_number": "804-897-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 KOGER CENTER BLVD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354778",
            "telephone_number": "804-897-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIM",
        "first_name": "SHANNON",
        "middle_name": "ELYNN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101249872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

Verify at the official NPI Registry.