Organization Active NPI

Bayview Physician Services, PC

Doing business as LMC Radiology

  • Radiology Clinic/Center
  • Suffolk, VA
National Provider Identifier
1699865626
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
OH660 Issued in VA
Legal business name
BAYVIEW PHYSICIAN SERVICES, PC
Doing business as
LMC Radiology
Practice address
2000 Meade Parkway
Suffolk, VA 23434-4259
Phone
(757) 934-9308
Fax
(757) 539-7582
NPI assigned
Oct 13, 2006
Last updated
Oct 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 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) 923-9604

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X OH660 VA Primary
Mammography Clinic/Center 261QR0206X OH660 VA

Addresses

Primary practice location

2000 Meade Parkway
Suffolk, VA 23434-4259

Mailing address

PO Box 7068
Portsmouth, VA 23707-0068
Phone (757) 686-3508

Other identifiers 6

IdentifierTypeStateIssuer
0721140OtherVACIGNA PROVIDER NUMBER
50122OtherVAOPTIMA PROVIDER NUMBER
7729551OtherVAAETNA PROVIDER NUMBER
P00413966OtherVARAILROAD MEDICARE
267286OtherVAANTHEM BCBS
010235499MedicaidVA

Other names 1

  • LMC Radiology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20131008000529 VA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 5597664201 Practice locations: Suffolk, VA
O20131017001018 VA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 5597664201 Practice locations: Suffolk, 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
Tax ID family
Bayview Physician Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

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

300 Medical Pkwy
Ste 200
Chesapeake, VA 23320
Phone (757) 625-4455

300 Medical Pkwy
Ste 208
Chesapeake, VA 23320
Phone (757) 547-2233

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

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

425 W 20th St
Ste 1
Norfolk, VA 23517
Phone (757) 622-6520

600 Gresham Dr
#8610
Norfolk, VA 23507
Phone (757) 622-9192

6161 Kempsville Cir
Ste 225
Norfolk, VA 23502
Phone (757) 455-6368

801 W Little Creek Rd
Ste 105
Norfolk, VA 23505
Phone (757) 423-4510

913 S Church St
Smithfield, VA 23430
Phone (757) 357-5307

2000 Meade Pkwy
Ste 160
Suffolk, VA 23434

2401 Godwin Blvd
Ste 3
Suffolk, VA 23434
Phone (757) 923-9660

3060 Godwin Blvd
Suffolk, VA 23434
Phone (757) 923-9660

4868 Bridge Rd
Ste 350
Suffolk, VA 23435

5622 Bennetts Pasture Rd
Suffolk, VA 23435
Phone (757) 484-3472

1020 Independence Blvd
Ste 103
Virginia Beach, VA 23455
Phone (757) 363-1000

1101 First Colonial Rd
Ste 201
Virginia Beach, VA 23454
Phone (757) 967-8640

1168 First Colonial Rd
Virginia Beach, VA 23454
Phone (757) 352-2020

1168 First Colonial Rd
Ste 301
Virginia Beach, VA 23454
Phone (757) 481-0898

1270 Diamond Springs Rd
Ste 110
Virginia Beach, VA 23455
Phone (757) 464-6944

4654 Haygood Rd
Ste B
Virginia Beach, VA 23455
Phone (757) 363-1000

6632 Indian River Rd
Ste 103
Virginia Beach, VA 23464
Phone (757) 424-4442

816 Independence Blvd
Ste 1H
Virginia Beach, VA 23455
Phone (757) 464-2013

Practitioners & affiliated clinicians

Practitioners 657

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 657

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759795200000",
    "number": "1699865626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7068",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237070068",
            "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": "2000 MEADE PARKWAY",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234344259",
            "telephone_number": "757-934-9308",
            "fax_number": "757-539-7582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYVIEW PHYSICIAN SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "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": "757-923-9604"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "VA",
            "license": "OH660",
            "primary": true
        },
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": "VA",
            "license": "OH660",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER NUMBER",
            "identifier": "0721140",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA PROVIDER NUMBER",
            "identifier": "50122",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "7729551",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00413966",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "267286",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010235499",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LMC Radiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Suffolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.