Individual provider Active NPI

Brandon Dudley Lipscomb, FNP

  • Family Nurse Practitioner
  • Lynchburg, VA
National Provider Identifier
1932518099
Registry record updated Aug 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024171927 Issued in VA
Practice address
2323 Memorial Ave Ste 10
Lynchburg, VA 24501-2652
Phone
(434) 200-5200
NPI assigned
Aug 3, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024171927 VA Primary

Addresses

Primary practice location

2323 Memorial Ave Ste 10
Lynchburg, VA 24501-2652

Mailing address

2323 Memorial Ave Ste 10
Lynchburg, VA 24501-2652
Phone (434) 200-5200

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140924000678 VA Practitioner - Nurse Practitioner 1850510801 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024171927VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Aug 15, 2022 Accepting new patients
Privia Medical Group, LLC CurrentSince Aug 15, 2022 Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients

Locations

131 Jones St
Appomattox, VA 24522
Phone (434) 332-7367

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

1175 Corporate Park Dr
Forest, VA 24551
Phone (434) 525-6964

1088 London Links Dr
Forest, VA 24551
Phone (434) 534-6868

527 Pocket Rd
Hurt, VA 24563
Phone (434) 324-9150

2019 Tate Springs Rd
Lowr
Lynchburg, VA 24501
Phone (434) 846-7708

2321 Wards Rd
Lynchburg, VA 24502
Phone (434) 582-2273

14005 Wards Rd
#A
Lynchburg, VA 24501
Phone (434) 239-0132

2215 Landover Pl
Lowr
Lynchburg, VA 24501

2019 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 845-7035

2137 Lakeside Dr
Ste 100
Lynchburg, VA 24501
Phone (434) 385-4184

205 Archway Ct
Lynchburg, VA 24502

118 Oakwood Dr
Madison Heights, VA 24572
Phone (434) 845-5641

8644 Sudley Rd
#220
Manassas, VA 20110

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: brandon.lipscomb.1@8042.direct.athenahealth.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1407024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407024000000",
    "number": "1932518099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 MEMORIAL AVE STE 10",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245012652",
            "telephone_number": "434-200-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 MEMORIAL AVE STE 10",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245012652",
            "telephone_number": "434-200-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPSCOMB",
        "first_name": "BRANDON",
        "middle_name": "DUDLEY",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-03",
        "last_updated": "2014-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024171927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

Verify at the official NPI Registry.