Organization Active NPI

Medfrebs, Inc

  • VA Clinic/Center
  • Portsmouth, VA
National Provider Identifier
1962025502
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
VA Clinic/CenterTaxonomy code 261QV0200X
Legal business name
MEDFREBS, INC
Practice address
4725 Portsmouth Blvd
Portsmouth, VA 23701-2307
Phone
(757) 488-8888
Fax
(757) 488-0860
NPI assigned
May 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Authorized official

Name
Charles E Archie
Title
HR
Phone
(757) 850-0614

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X
Primary Care Clinic/Center 261QP2300X
VA Clinic/Center 261QV0200X Primary

Addresses

Primary practice location

4725 Portsmouth Blvd
Portsmouth, VA 23701-2307

Mailing address

4725 Portsmouth Blvd
Portsmouth, VA 23701-2307
Phone (757) 488-8888

Other practice location 1

7800 66th St N Ste 202
Pinellas Park, FL 33781-2101
Phone (727) 477-2988 ext. 88888

Other names 1

  • MEDFRES, Inc Former legal business name

National Provider Directory

National Provider Directory

Locations

4725 Portsmouth Blvd
Portsmouth, VA 23701
Phone (757) 488-6400

NPI Registry JSON

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

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1962025502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4725 PORTSMOUTH BLVD",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237012307",
            "telephone_number": "757-488-8888",
            "fax_number": "757-488-0860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4725 PORTSMOUTH BLVD",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237012307",
            "telephone_number": "757-488-8888",
            "fax_number": "757-488-0860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7800 66th St N Ste 202",
            "address_purpose": "LOCATION",
            "city": "Pinellas Park",
            "state": "FL",
            "postal_code": "337812101",
            "country_code": "US",
            "telephone_number": "727-477-2988 x88888",
            "fax_number": "727-516-4788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDFREBS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-18",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "ARCHIE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "HR",
        "authorized_official_telephone_number": "757-850-0614"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QV0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, VA",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDFRES, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Portsmouth, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; 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.