Healthcare Provider Details
I. General information
NPI: 1225160443
Provider Name (Legal Business Name): RONALD B DAVID MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 03/12/2007
Last Update Date: 12/21/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5875 BREMO RD SUITE 700
RICHMOND VA
23226-1934
US
IV. Provider business mailing address
5875 BREMO RD SUITE 700
RICHMOND VA
23226-1934
US
V. Phone/Fax
- Phone: 804-673-9600
- Fax: 804-673-8021
- Phone: 804-673-9600
- Fax: 804-673-8021
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | 0101016858 |
| License Number State | VA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: