OrganizationActive
Boyd R Wickizer MD LLC
NPI 1710408117 · Multi-Specialty Clinic/Center · Midlothian, VA
Provider details
- NPI number
- 1710408117
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Boyd Wickizer, President(804) 938-0264
- License
- 0101047692 (VA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
2802 Otterdale Rd
Midlothian, VA 23112-5408
Phone: (804) 938-0264
Street-level locationGet directions
Mailing address
Po Box 446
Midlothian, VA 23113-0446
Other names (DBA / former)
- Doing business as
- Dr. Wickizer
Registry dates
- Enumerated
- 2017-07-06
- Last updated
- 2017-07-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.