Riverside Physician Services Inc

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

RIVERSIDE PHYSICIAN SERVICES INC

Doing business as

Riverside Ear, Nose and Throat Physicians and Surgeons Williamsburg

Practice address

120 Kings Way Ste 3500
Williamsburg, VA 23185-2511

Phone

(757) 345-2600

Fax

(757) 253-1527

NPI assigned

Jul 21, 2006

Organization subpart

Yes

Parent organization

RIVERSIDE PHYSICIAN SERVICES INCAs reported in NPPES

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

Addresses

Other names 1

• Riverside Ear, Nose and Throat Physicians and Surgeons Williamsburg Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Part of

RPS Ta Rvrsde Tpphnck GRP

Locations

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746748800000",
    "number": "1831110501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 J CLYDE MORRIS BLVD",
            "address_2": "SUITE A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011318",
            "telephone_number": "757-594-4006",
            "fax_number": "757-534-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 KINGS WAY STE 3500",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231852511",
            "telephone_number": "757-345-2600",
            "fax_number": "757-253-1527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE PHYSICIAN SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RIVERSIDE PHYSICIAN SERVICES INC",
        "enumeration_date": "2006-07-21",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "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": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Ear, Nose and Throat Physicians and Surgeons Williamsburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Riverside Physician Services Inc
• Riverside Physician Services Inc
• Riverside Physician Services Inc
• Riverside Physician Services Inc
• Riverside Physician Services Inc
• Riverside Physician Services Inc
• Riverside Physician Services, Inc
• Riverside Physician Services, Inc
• Riverside Physician Services, Inc
• Riverside Physician Services, Inc

• Otolaryngology Physician in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Otolaryngology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.