OrganizationActive
Peninsula Cancer Institute, LLC
NPI 1508947342 · Hematology & Oncology Physician · Newport News, VA
Provider details
- NPI number
- 1508947342
- Entity type
- Organization
- Primary specialty
- Hematology & Oncology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Braden Miller, Cfo(757) 594-4006
- License
- 0101043974 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Other Service Providers
Profile Score
Detailed profile(99/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 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
12100 Warwick Blvd.
Suite 201
Newport News, VA 23601-2365
Phone: (757) 534-5555
Fax: (757) 534-5569
Street-level locationGet directions
Mailing address
856 J Clyde Morris Blvd Ste a
Newport News, VA 23601-1318
Additional practice locations (2)
- 7544 Medical Dr Ste B-1Gloucester, VA 23061-4299Phone: (804) 693-9037Fax: (804) 693-9486
- 120 Kings Way Ste 3100-AWilliamsburg, VA 23185-2505Phone: (757) 345-5724Fax: (757) 345-2236
Registry dates
- Enumerated
- 2006-10-18
- Last updated
- 2026-04-28
- Certified
- 2026-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.