RIVERSIDE NEUROLOGY AND SLEEP SPECIALISTS – NPI #1114170446
Psychiatry & Neurology

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.

Health Care Provider Taxonomy Code for Psychiatry & Neurology

RIVERSIDE NEUROLOGY AND SLEEP SPECIALISTS is a psychiatry & neurologist located in GLOUCESTER COURTHOUSE, VA. NPPES has assigned the NPI number 1114170446 to RIVERSIDE NEUROLOGY AND SLEEP SPECIALISTS on October 30, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “RIVERSIDE NEUROLOGY AND SLEEP SPECIALISTS” is a dba name, the actual legal business name for this organization is RIVERSIDE PHYSICIAN SERVICES INC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2084N0400X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Neurology

The NPI profile was previously updated about 3 years ago on Sep 21, 2023. 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 RIVERSIDE NEUROLOGY AND SLEEP SPECIALISTS below.

NPI Profile for
RIVERSIDE PHYSICIAN SERVICES INC

NPI Number
1114170446
Enumeration Date

(more than 17 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
RIVERSIDE PHYSICIAN SERVICES INC
Doing Business As (dba): RIVERSIDE NEUROLOGY AND SLEEP SPECIALISTS
Primary location
7547 MEDIAL DRIVE
SUITE 1300
GLOUCESTER COURTHOUSE, VA 23061
Phone: (804) 695-8550 Fax: (804) 695-8551
Mailing address
856 J CLYDE MORRIS BLVD
SUITE A
NEWPORT NEWS, VA 23601-1318
Phone: (757) 594-4006 Fax: (757) 534-5190
Organization Subpart
Yes - RIVERSIDE NEUROLOGY AND SLEEP SPECIALISTS is subpart of another organization.
Authorized Official
BRADEN MILLER
CFO
Phone: (757) 316-5906
Updated
Certification Date
Sep 21, 2023

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
2084N0400X
- Psychiatry & Neurology / Neurology (Primary)		 VA
2084S0012X
- Psychiatry & Neurology / Sleep Medicine		 VA

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.