Healthcare Provider Details

I. General information

NPI: 1801531363
Provider Name (Legal Business Name): NOAH HILLERBRAND MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2022
Last Update Date: 05/22/2025
Certification Date: 05/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 E. MARSHALL STREET VCUHS DEPT OF EMERGENCY MEDICINE RESIDENCY (980401)
RICHMOND VA
23298
US

IV. Provider business mailing address

VCUHS GMEA PO BOX 980257
RICHMOND VA
23298-0257
US

V. Phone/Fax

Practice location:
  • Phone: 804-828-0996
  • Fax:
Mailing address:
  • Phone: 804-828-9783
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number0116036350
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License Number0116035350
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: