BRUTON AVENUE FAMILY PRACTICE
NPI 1013933977
Family Medicine in Newport News, VA

Q: What is Riverside Physician Services Inc's NPI number?

The NPI number for Riverside Physician Services Inc is 1013933977. It was assigned to this organization in the NPPES registry on July 14, 2006. The provider is doing business as Bruton Avenue Family Practice.

Q: What is Riverside Physician Services Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since July 14, 2006CLIA 49D0669759 · Microscopy

12 BRUTON AVE, NEWPORT NEWS, VA 23601(757) 594-4111(757) 594-4115 Get Directions Write a Review

NPPES record last updated: October 14, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Bruton Avenue Family Practice NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRUTON AVENUE FAMILY PRACTICE (NPI 1013933977) is a healthcare organization registered as a family medicine in Newport News, Virginia and active in the NPI registry since July 2006. The organization holds a CLIA Microscopy certificate valid through May 27, 2028 and lists James Lesnick, Vice President, as its authorized official.

NPPES Registry Identity

NPI1013933977

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameRIVERSIDE PHYSICIAN SERVICES INC

Location Address12 BRUTON AVENewport News, VA 23601-1602

Mailing Address856 J Clyde Morris Blvd, Suite ANewport News, VA 23601-1318 · (757) 594-4006 · Fax (757) 534-5190

Phone(757) 594-4111

Fax(757) 594-4115

Organization SubpartYesParent: Riverside Healthcare Associates

Authorized OfficialJames LesnickVice President · (757) 594-4006

Enumeration DateJuly 14, 2006

Last NPPES UpdateOctober 14, 2014

✔ NPI 1013933977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

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.

12 BRUTON AVE, Newport News, VA 23601

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Other Names 1

Doing Business AsBruton Avenue Family Practice

Other Identifiers 2

Medicare PINC03953VA

Medicare NSC1081570024

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 49D0669759

Bruton Avenue Family Practice · Newport News, VA

Active · expires May 27, 2028

CLIA Number49D0669759

Laboratory TypePhysician Office

Certificate Effective DateMay 28, 2026

Certificate Expiration DateMay 27, 2028

Laboratory DirectorCharles K. Phillips

Laboratory Phone(757) 594-4111

Laboratory LocationBruton Avenue Family Practice12 Bruton Avenue, Newport News, VA 23601

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANGELA V BARCO

Nurse Practitioner (Family)