NPIMap

Organization Active NPI

John Randolph OB/GYN, LLC

  • Obstetrics & Gynecology Physician
  • Richmond, VA
National Provider Identifier
1720117559
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
JOHN RANDOLPH OB/GYN, LLC
Practice address
7157 Jahnke Rd
Richmond, VA 23225-4017
Phone
(804) 706-5827
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Authorized official

Name
Suzanne Bergamo
Title
VP
Phone
(804) 267-5950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

7157 Jahnke Rd
Richmond, VA 23225-4017

Mailing address

2000 Health Park Dr
Brentwood, TN 37027-4692
Phone (615) 373-7406

Other identifiers 1

IdentifierTypeStateIssuer
1720117559MedicaidVA

Other names 1

  • Chester Women's Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051028000450 VA Part B Supplier - Clinic/Group Practice 3577580539 Receives reassigned benefits from 7 practitioners
Practice locations: Richmond, VA; North Chesterfield, VA; Hopewell, VA; Colonial Heights, VA; Chesterfield, VA; Chester, VA

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

12801 Iron Bridge Rd
Ste 100
Chester, VA 23831
Phone (804) 404-3403

1409 Huguenot Rd
Midlothian, VA 23113
Phone (804) 706-5827

9460 Amberdale Dr
#D
North Chesterfield, VA 23236
Phone (804) 745-4780

1401 Johnston Willis Dr
#500
North Chesterfield, VA 23235
Phone (804) 267-6931

7101 Jahnke Rd
Ste 1054
Richmond, VA 23225
Phone (804) 231-9691

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763596800000",
    "number": "1720117559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 HEALTH PARK DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274692",
            "telephone_number": "615-373-7406",
            "fax_number": "804-706-5819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7157 JAHNKE RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232254017",
            "telephone_number": "804-706-5827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN RANDOLPH OB/GYN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A",
        "authorized_official_last_name": "BERGAMO",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "804-267-5950"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720117559",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chester Women's Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Chester Women's Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 20, 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.