OrganizationActive
Branbur Dialysis LLC
NPI 1043873664 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Prince George, VA
Provider details
- NPI number
- 1043873664
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Samuel Wey, Vp Licensure & Certification(615) 341-6641
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
4650 Puddledock Rd
Prince George, VA 23875-1235
Phone: (804) 957-5910
Fax: (804) 957-5916
Approximate (ZIP-level) locationGet directions
Mailing address
5200 Virginia Way
Brentwood, TN 37027-7569
Other names (DBA / former)
- Doing business as
- Puddledock Dialysis
- Doing business as
- Puddledock Dialysis
Registry dates
- Enumerated
- 2019-04-18
- Last updated
- 2026-01-26
- Certified
- 2026-01-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.