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

Riverside Physician Services Inc

Organization Internal Medicine Physician · NPI 1609020643

Riverside Physician Services Inc is an Internal Medicine Physician in Newport News, Virginia. Licensed in Virginia. Registered with an NPI since 2008.

Licensed in
VA
In the registry since
2008
Specialties on file
5
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12200 Warwick Blvd Ste 490A
Newport News, VA 23601-2548
Phone: (757) 534-9988
Fax: (757) 594-3653
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X
Internal Medicine Physician Taxonomy 207R00000X (VA)
Sports Medicine (Internal Medicine) Physician Taxonomy 207RS0010X
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X
Multi-Specialty Clinic/Center Taxonomy 261QM1300X

Record details

NPI number1609020643
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationRiverside Physician Services Inc
Authorized official Braden Miller — Cfo · (757) 316-5906
Other names Long Term Acute Care Hospital
NPI enumeratedNovember 4, 2008
Last updated in NPPESAugust 10, 2021
Certification dateAugust 10, 2021
Mailing address856 J Clyde Morris Blvd, Suite A, Newport News, VA 23601-1318

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