Riverside Physician Services Inc
NPI 1114170552 · Otolaryngology Physician · Gloucester, VA
Riverside Physician Services Inc is a Otolaryngology Physician organization in Gloucester, VA (NPI 1114170552).
Provider details
- NPI number
- 1114170552
- Entity type
- Organization
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Riverside Physician Services Inc
- Organization subpart
- Yes
- Authorized official
- Braden Miller, Cfo(757) 316-5900
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 7570 Hospital DriveBldg. B Suite 105Gloucester, VA 23061Phone: (804) 693-3478Fax: (804) 693-3507
Registry dates
- Enumerated
- 2008-10-29
- Last updated
- 2018-03-17
Frequently asked questions
- What is Riverside Physician Services Inc's NPI number?
- Riverside Physician Services Inc's National Provider Identifier (NPI) is 1114170552, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Riverside Physician Services Inc?
- Riverside Physician Services Inc is classified in the NPPES registry as Otolaryngology Physician (Allopathic & Osteopathic Physicians).
- Where is Riverside Physician Services Inc located?
- Riverside Physician Services Inc's practice location on file with NPPES is 7552 Hospital Dr Ste 302, Gloucester, VA 23061-4178.
- What is Riverside Physician Services Inc's phone number?
- The practice phone number listed in the NPPES registry for Riverside Physician Services Inc is (804) 693-6720.
- Who is the authorized official for Riverside Physician Services Inc?
- The authorized official listed on Riverside Physician Services Inc's NPPES record is Braden Miller, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Riverside Physician Services Inc's NPI active?
- Yes — Riverside Physician Services Inc's NPI (1114170552) is active in the NPPES registry as of the last update on 2018-03-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.