Retreat Internal Medicine LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

RETREAT INTERNAL MEDICINE LLC

Practice address

110 N Robinson St
Suite 400
Richmond, VA 23220-4459

Phone

(804) 822-3480

NPI assigned

Jan 24, 2007

Organization subpart

No

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

Authorized official

Name

Suzanne Bergamo

Title

VP

Phone

(804) 267-5950

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• George T Maughan, MD

  • Family Medicine Physician
  • Richmond, VA
  • NPI 1558323824
  Medicare reassignment NPD
• Richard C Peebles II, MD

  • Internal Medicine Physician
  • Richmond, VA
  • NPI 1609987155
  Medicare reassignment NPD
• Latania Akers-White, M.D.

  • Family Medicine Physician
  • Richmond, VA
  • NPI 1750571691
  NPD (past)
• Elwood Bernard Boone Jr., MD

  • Urology Physician
  • Richmond, VA
  • NPI 1629034822
  NPD (past)
• Torino R Jennings, M.D.

  • Family Medicine Physician
  • Mechanicsville, VA
  • NPI 1225149750
  NPD (past)
• Lauren Marie Richardson, PA-C

  • Medical Physician Assistant
  • Richmond, VA
  • NPI 1235416181
  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763596800000",
    "number": "1942355367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 HEALTH PARK DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274692",
            "telephone_number": "615-373-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N ROBINSON ST",
            "address_2": "SUITE 400",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232204459",
            "telephone_number": "804-822-3480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETREAT INTERNAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A",
        "authorized_official_last_name": "BERGAMO",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "804-267-5950"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942355367",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Retina Vitreous Consultants
• Retreat Cardiology LLC
• Retreat Cardiology LLC
• Retreat Hospital
• Retreat Hospital, Inc.
• Retreat Surgical Associates LLC
• Elizabeth Mae Rettew, APRN
• Shane Reuss
• John Reuter
• David Charles Reutinger, MD

• Internal Medicine Physician in Richmond, VA
• Providers in Richmond, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; 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.