Active NPI
Lawrence Brielman Ryan, MD
- General Practice Physician
- Richmond, VA
National Provider Identifier
1821276866
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(4) exclusion effective Oct 20, 2021.
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 0101231458
- Practice address
- 117 S 3Rd St
Richmond, VA 23219-3703 - Phone
- (804) 643-6789
- Fax
- (804) 643-6799
- NPI assigned
- Feb 1, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 0101231458 | VA | Primary |
Addresses
Primary practice location
117 S 3Rd St
Richmond, VA 23219-3703
Mailing address
106 Orchard St
Norfolk, VA 23505-4818
Phone (757) 377-3801
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0101231458 | Other | VA | VA MED LICENSE |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101231458 | VA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1821276866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 ORCHARD ST",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235054818",
"telephone_number": "757-377-3801",
"fax_number": "804-643-6789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 S 3RD ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232193703",
"telephone_number": "804-643-6789",
"fax_number": "804-643-6799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "LAWRENCE",
"middle_name": "BRIELMAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-01",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "VA",
"license": "0101231458",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VA MED LICENSE",
"identifier": "0101231458",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.