Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Indian River Family Practice PC

Organization Family Medicine Physician · NPI 1629155122

Indian River Family Practice PC is a Family Medicine Physician in Chesapeake, Virginia. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1016 Justis St
Chesapeake, VA 23325
Phone: (757) 420-8297
Fax: (757) 523-5639
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1629155122
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Larry Kagan — Secretary Treasurer · (757) 420-8297
NPI enumeratedNovember 1, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1016 Justis St, Chesapeake, VA 23325

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