Organization · Type 2 NPI

Riverside Physician Services Inc

Neurology Physician · Gloucester, VA

NPI number 1114170446 Active

Practice location

7547 Medial Drive, Suite 1300
Gloucester, VA 23061

Call (804) 695-8550 Map

Fax (804) 695-8551

Mailing address

856 J Clyde Morris Blvd, Suite A
Newport News, VA 23601-1318

Specialties and licenses

Taxonomy	Code	License
Neurology Physician Primary	2084N0400X	None listed
Sleep Medicine (Psychiatry & Neurology) Physician	2084S0012X	None listed

Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Other neurology physician providers in Gloucester

Sentara Medical GroupNeurology Physician Gloucester, VA NPI 1851538201

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NPI record

NPI: 1114170446
Entity type: Organization (Type 2)
Issued: Oct 30, 2008
Last updated: Sep 21, 2023
Status: Active
Subpart: Yes of Riverside Healthcare Associates

Other names

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Riverside Neurology and Sleep Specialists · doing business as
Riverside Neurology and Sleep Specialists · doing business as

Authorized official

Braden Miller
CFO
(757) 316-5906

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1114170446

Riverside Physician Services Inc's National Provider Identifier is 1114170446, issued on Oct 30, 2008. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Gloucester, VA. The record was last updated on Sep 21, 2023.