Individual provider Active NPI

Brian Scott King, MD

  • Surgical Critical Care Physician
  • Norfolk, VA
National Provider Identifier
1891757365
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
0101051483 Issued in VA
Practice address
600 Gresham Dr Ste 8630B
Norfolk, VA 23507-1904
Phone
(757) 388-6115
NPI assigned
Apr 3, 2006
Last updated
Oct 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0101051483 VA
Surgical Critical Care Physician 2086S0102X 0101051483 VA Primary

Addresses

Primary practice location

600 Gresham Dr Ste 8630B
Norfolk, VA 23507-1904

Mailing address

2790 Godwin Blvd
Suite 305
Suffolk, VA 23434-8151
Phone (757) 934-4222

Other practice location 1

2790 Godwin Blvd
Suffolk, VA 23434-8151
Phone (757) 934-4222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080306000265 VA Practitioner - General Surgery 3870678451 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101051483VAMDSurgical Critical Care Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group CurrentSince May 20, 2012 Accepting new patients
Henrico Surgical Specialists, LLC Surgery CurrentSince Jun 1, 2016 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

600 Gresham Dr
Ste 8630B
Norfolk, VA 23507
Phone (757) 338-6115

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

110 N Robinson St
Ste 303
Richmond, VA 23220
Phone (804) 200-1950

7605 Forest Ave
Ste 212
Richmond, VA 23229
Phone (804) 285-9416

2000 Meade Pkwy
Suffolk, VA 23434
Phone (757) 539-0251

2790 Godwin Blvd
Ste 305
Suffolk, VA 23434
Phone (757) 934-4222

2800 Godwin Blvd
Suffolk, VA 23434
Phone (757) 934-4000

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1891757365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 GODWIN BLVD",
            "address_2": "SUITE 305",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348151",
            "telephone_number": "757-934-4222",
            "fax_number": "757-934-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 GRESHAM DR STE 8630B",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071904",
            "telephone_number": "757-388-6115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2790 Godwin Blvd",
            "address_purpose": "LOCATION",
            "city": "Suffolk",
            "state": "VA",
            "postal_code": "234348151",
            "country_code": "US",
            "telephone_number": "757-934-4222",
            "fax_number": "757-934-4111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "BRIAN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101051483",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "VA",
            "license": "0101051483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.