1212MED – NPI #1982470100
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1212MED is a provider located in RICHMOND, VA. NPPES has assigned the NPI number 1982470100 to 1212MED on November 29, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “1212MED” is a dba name, the actual legal business name for this organization is 1212 MED PLLC. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 2 years ago on Mar 07, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for 1212MED below.

NPI Profile for
1212 MED PLLC

NPI Number
1982470100
Enumeration Date

(more than 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
1212 MED PLLC
Doing Business As (dba): 1212MED
Primary location
405 E LABURNUM AVE STE 3
RICHMOND, VA 23222-2134
Phone: (540) 200-8821 Fax: (540) 779-7889
Mailing address
674 LEES GAP RD
FINCASTLE, VA 24090-3869
Phone: (540) 682-3082 Fax:
Organization Subpart
No
Authorized Official
HENRY BURGESS
OWNER
Phone: (540) 682-3082
Updated
Certification Date
Mar 07, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.