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OLD GLORY PERSONALIZED HEALTH
NPI 1093661290
Anesthesiology - Critical Care Medicine in Richmond, VA

Active since March 09, 2026
2108 W LABURNUM AVE STE 230, RICHMOND, VA 23227(804) 269-0637(804) 441-7346 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Old Glory Personalized Health NPPES

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

OLD GLORY PERSONALIZED HEALTH (NPI 1093661290) is a healthcare organization registered as a critical care medicine in Richmond, Virginia and active in the NPI registry since March 2026. The organization lists Brooke Trainer, Ceo/physician, as its authorized official.

NPPES Registry Identity

NPI1093661290
Entity TypeOrganization
Primary Taxonomy207LC0200X
Legal Business NameOLD GLORY PERSONALIZED HEALTH
Location Address2108 W LABURNUM AVE STE 230Richmond, VA 23227-4300
Mailing Address2108 W Laburnum Ave Ste 230Richmond, VA 23227-4300 · (804) 269-0637 · Fax (804) 441-7346
Phone(804) 269-0637
Fax(804) 441-7346
Organization SubpartNo
Authorized OfficialBrooke TrainerCeo/physician · (804) 269-0637
Enumeration DateMarch 9, 2026
NPPES CertifiedMarch 9, 2026
✔ NPI 1093661290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LC0200X
Definition
An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
2108 W LABURNUM AVE STE 230, Richmond, VA 23227
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

OLD GLORY HOME HEALTH CARE & ASSISTIVE CARE
Home Health
2108 W LABURNUM AVE STE 230
RICHMOND, VA 23227
Henrico County (804) 599-7868
KIM FOSTER
Registered Nurse
2108 W LABURNUM AVE STE 230
RICHMOND, VA 23227
Henrico County (804) 269-0637

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 Old Glory Personalized Health's NPI number?

The NPI number for Old Glory Personalized Health is 1093661290. It was assigned to this organization in the NPPES registry on March 9, 2026.

Where is Old Glory Personalized Health located?

Old Glory Personalized Health is located at 2108 W Laburnum Ave Ste 230, Richmond, VA 23227. The listed phone number is (804) 269-0637.

What is Old Glory Personalized Health's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Critical Care Medicine, with taxonomy code 207LC0200X.

When was this NPI record last updated?

The NPPES record for Old Glory Personalized Health was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.