NPIMap

Organization Active NPI

Greenbrier Obstetrics and Gynecology, P. C.

  • Obstetrics & Gynecology Physician
  • Chesapeake, VA
National Provider Identifier
1851336267
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0101044724 Issued in VA
Legal business name
GREENBRIER OBSTETRICS AND GYNECOLOGY, P. C.
Practice address
713 Volvo Pkwy
Ste 200
Chesapeake, VA 23320-1614
Phone
(757) 547-4500
Fax
(757) 547-4502
NPI assigned
Jun 19, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Matthew WhittedNPI 1932145554
Title
President
Phone
(757) 547-4500

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0101044724 VA Primary

Addresses

Primary practice location

713 Volvo Pkwy
Ste 200
Chesapeake, VA 23320-1614

Mailing address

713 Volvo Pkwy
Ste 200
Chesapeake, VA 23320-1614
Phone (757) 547-4500

Other identifiers 1

IdentifierTypeStateIssuer
006202152MedicaidVA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040503001330 VA Part B Supplier - Clinic/Group Practice 4082602669 Receives reassigned benefits from 7 practitioners
Practice locations: Chesapeake, VA

National Provider Directory

National Provider Directory

Locations

1224 Progressive Dr
#200
Chesapeake, VA 23320
Phone (757) 547-4500

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851336267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 VOLVO PKWY",
            "address_2": "STE 200",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233201614",
            "telephone_number": "757-547-4500",
            "fax_number": "757-547-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 VOLVO PKWY",
            "address_2": "STE 200",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233201614",
            "telephone_number": "757-547-4500",
            "fax_number": "757-547-4502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENBRIER OBSTETRICS AND GYNECOLOGY, P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITTED",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-547-4500"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101044724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006202152",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.