CHESTER SQUARE FAMILY PRACTICE, PLC
NPI 1023292885
Family Medicine in Chester, VA

Active since December 28, 2007CLIA 49D1079793 · Waiver
4619 CHESTER SQUARE ROAD, CHESTER, VA 23831(804) 778-4747(804) 778-4487 Get Directions Write a Review

NPPES record last updated: October 22, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Chester Square Family Practice, Plc NPPES

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

CHESTER SQUARE FAMILY PRACTICE, PLC (NPI 1023292885) is a healthcare organization registered as a family medicine in Chester, Virginia and active in the NPI registry since December 2007. The organization holds a CLIA Waiver certificate valid through February 6, 2028 and lists Brian Grieg Burijon, M.d./business Owner, as its authorized official.

NPPES Registry Identity

NPI1023292885
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCHESTER SQUARE FAMILY PRACTICE, PLC
Location Address4619 CHESTER SQUARE ROADChester, VA 23831-1726
Mailing Address4619 Chester Square RoadChester, VA 23831-1726 · (804) 778-4747 · Fax (804) 778-4487
Fax(804) 778-4487
Organization SubpartNo
Authorized OfficialBrian Grieg BurijonM.d./business Owner · (804) 778-4747
Enumeration DateDecember 28, 2007
Last NPPES UpdateOctober 22, 2008
NPI 1023292885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in VA · 0101052854
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.

4619 CHESTER SQUARE ROAD, Chester, VA 23831

Other Identifiers 1

Medicare PINC10575VA

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 of Waiver 49D1079793

Chester Square Family Practice · Chester, VA
Active · expires Feb 6, 2028
CLIA Number49D1079793
Laboratory TypeMobile Laboratory
Certificate Effective DateFebruary 7, 2026
Certificate Expiration DateFebruary 6, 2028
Laboratory DirectorBrian G. Burijon, MD
Laboratory Phone(804) 301-7943
Laboratory LocationChester Square Family Practice12200 Ironbridge Road, Chester, VA 23831
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chester Square Family Practice, Plc's NPI number?

The NPI number for Chester Square Family Practice, Plc is 1023292885. It was assigned to this organization in the NPPES registry on December 28, 2007.

Where is Chester Square Family Practice, Plc located?

Chester Square Family Practice, Plc is located at 4619 Chester Square Road, Chester, VA 23831. The listed phone number is (804) 778-4747.

What is Chester Square Family Practice, Plc's specialty?

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

Does Chester Square Family Practice, Plc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D1079793) is associated with this NPI, valid through February 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Chester Square Family Practice, Plc was last updated on October 22, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.