NPI 1871639658 · live from the CMS NPI Registry
Brandermill Pediatric & Adolescent Medicine PC
Pediatrics, Adolescent Medicine in Midlothian, VA. National Provider Identifier 1871639658, active.
NPI record
| NPI | 1871639658 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics, Adolescent Medicine 2080A0000X |
| Practice location | 4902 Millridge Pkwy E, Midlothian, VA 23112 |
| Practice phone | 804-744-1231 |
| Enumerated | January 29, 2007 |
| Last updated | August 22, 2020 |
| Authorized official | Judith Mcghee, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics, Adolescent Medicine primary | 2080A0000X | 0101030363 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.