NPIMap

Organization Active NPI

Brandermill Pediatric & Adolescent Medicine PC

  • Pediatric Adolescent Medicine Physician
  • Midlothian, VA
National Provider Identifier
1871639658
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
0101030363 Issued in VA
Legal business name
BRANDERMILL PEDIATRIC & ADOLESCENT MEDICINE PC
Practice address
4902 Millridge Pkwy E
Midlothian, VA 23112-4828
Phone
(804) 744-1231
Fax
(804) 744-9521
NPI assigned
Jan 29, 2007
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
Mrs. Judith F McGhee, MDNPI 1457400129
Title
Owner
Phone
(804) 744-1231

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
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080A0000X 0101030363 VA Primary

Addresses

Primary practice location

4902 Millridge Pkwy E
Midlothian, VA 23112-4828

Mailing address

4902 Millridge Pkwy E
Midlothian, VA 23112-4828
Phone (804) 744-1231

National Provider Directory

National Provider Directory

Locations

4902 Millridge Pkwy E
Midlothian, VA 23112
Phone (804) 744-1231

Practitioners & affiliated clinicians

Practitioners 5

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": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871639658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4902 MILLRIDGE PKWY E",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231124828",
            "telephone_number": "804-744-1231",
            "fax_number": "804-744-9521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4902 MILLRIDGE PKWY E",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231124828",
            "telephone_number": "804-744-1231",
            "fax_number": "804-744-9521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDERMILL PEDIATRIC & ADOLESCENT MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCGHEE",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-744-1231",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "VA",
            "license": "0101030363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.