Healthcare Provider Details

I. General information

NPI: 1568881324
Provider Name (Legal Business Name): BENJAMIN CAMERON WHITEHILL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2014
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5855 BREMO RD
RICHMOND VA
23226-1930
US

IV. Provider business mailing address

5855 BREMO RD
RICHMOND VA
23226-1930
US

V. Phone/Fax

Practice location:
  • Phone: 757-329-4473
  • Fax: 804-828-5775
Mailing address:
  • Phone: 757-329-4473
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0101261048
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code2080P0204X
TaxonomyPediatric Emergency Medicine (Pediatrics) Physician
License Number0101261048
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: