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

Petersburg Clinic Company LLC

Organization Family Medicine Physician · NPI 1881643617

Petersburg Clinic Company LLC is a Family Medicine Physician in Petersburg, Virginia. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
7
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

200 Medical Park Blvd
Petersburg, VA 23805-9274
Phone: (804) 765-5991
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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
Internal Medicine Physician Taxonomy 207R00000X
Gastroenterology Physician Taxonomy 207RG0100X
Surgery Physician Taxonomy 208600000X
Pain Medicine Physician Taxonomy 208VP0000X
Clinic/Center Taxonomy 261Q00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1881643617
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Debbie Brewer — Director · (877) 892-9813
NPI enumeratedMay 9, 2006
Last updated in NPPESJune 30, 2011
Mailing addressPo Box 689022, Franklin, TN 37068-9022

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