Healthcare Provider Details

I. General information

NPI: 1043168941
Provider Name (Legal Business Name): COMMUNITY MEDICAL ASSOCIATES, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2026
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5211 W BROAD ST
RICHMOND VA
23230-3009
US

IV. Provider business mailing address

802 CROMWELL PARK DR STE T
GLEN BURNIE MD
21061-2563
US

V. Phone/Fax

Practice location:
  • Phone: 804-288-3025
  • Fax:
Mailing address:
  • Phone: 804-288-3025
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State

VIII. Authorized Official

Name: THOMAS BRAY
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 804-288-3025