NPIMap

Organization Active NPI

Sentara Hospitals

  • Early Intervention Provider Agency
  • Virginia Beach, VA
National Provider Identifier
1891287504
Registry record updated May 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
SENTARA HOSPITALS
Practice address
818 Newtown Rd
Virginia Beach, VA 23462-1116
Phone
(757) 261-4475
NPI assigned
May 30, 2018
Organization subpart
Yes
Parent organization
SENTARA HEALTHCAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 30, 2018

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

Authorized official

Name
Robert A Broermann
Title
SVP and Cfo
Phone
(757) 455-7020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

818 Newtown Rd
Virginia Beach, VA 23462-1116

Mailing address

6015 Poplar Hall Dr
Norfolk, VA 23502-3819

Other names 1

  • Sentara Therapy Center Pediatrics Newtown Other name

National Provider Directory

National Provider Directory
Tax ID family
Sentara Hospitals Dba BGRP17 organizations share this tax ID, including this one
Part of
Port Warwick Medical Arts

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527638400000",
    "number": "1891287504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6015 POPLAR HALL DR",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 NEWTOWN RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234621116",
            "telephone_number": "757-261-4475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENTARA HOSPITALS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SENTARA HEALTHCARE",
        "enumeration_date": "2018-05-30",
        "last_updated": "2018-05-30",
        "status": "A",
        "authorized_official_last_name": "BROERMANN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SVP AND CFO",
        "authorized_official_telephone_number": "757-455-7020"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sentara Therapy Center Pediatrics Newtown",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; 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.