Chester Square Family Practice, Plc | |
4619 Chester Square Road Chester VA 23831-1726 | |
(804) 778-4747 | |
(804) 778-4487 |
Full Name | Chester Square Family Practice, Plc |
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Speciality | Family Medicine |
Location | 4619 Chester Square Road, Chester, Virginia |
Authorized Official Name and Position | Brian Grieg Burijon (M.D./BUSINESS OWNER) |
Authorized Official Contact | 8047784747 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Chester Square Family Practice, Plc 4619 Chester Square Road Chester VA 23831-1726 Ph: (804) 778-4747 | Chester Square Family Practice, Plc 4619 Chester Square Road Chester VA 23831-1726 Ph: (804) 778-4747 |
NPI Number | 1023292885 |
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Provider Enumeration Date | 12/28/2007 |
Last Update Date | 10/22/2008 |
Medicare PECOS PAC ID | 7214095421 |
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Medicare Enrollment ID | O20081016000387 |
Identifier | Type | State | Issuer |
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1023292885 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 0101052854 (Virginia) | Primary |
Provider Name | Brian G Burijon |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1386638641 PECOS PAC ID: 8729169321 Enrollment ID: I20080122000410 |
Provider Name | Shannon F Rhodes |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952054231 PECOS PAC ID: 4981082401 Enrollment ID: I20220610002439 |
Bloom Geriatrics Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1714 E Hundred Rd Ste 101, Chester, VA 23836 Phone: 804-590-6750 | |
Tri-cities Geriatrics, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1714 E Hundred Rd, Suite 101, Chester, VA 23836 Phone: 804-721-9148 Fax: 804-530-5295 | |
Chester Family Medcare Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12901 Briggs Rd, Chester, VA 23831 Phone: 804-796-2373 Fax: 804-748-9160 | |