Active NPI
Medfrebs, Inc
- VA Clinic/Center
- Portsmouth, VA
National Provider Identifier
1962025502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- VA Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.