Healthcare Provider Details

I. General information

NPI: 1558270702
Provider Name (Legal Business Name): AUTHIFYPAY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8401 MAYLAND DR # 11566
RICHMOND VA
23294-4648
US

IV. Provider business mailing address

8401 MAYLAND DR # 11566
RICHMOND VA
23294-4648
US

V. Phone/Fax

Practice location:
  • Phone: 769-235-2898
  • Fax: 769-235-2898
Mailing address:
  • Phone: 769-235-2898
  • Fax: 769-235-2898

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: BRANDYE MARIE CRUM
Title or Position: OWNER
Credential:
Phone: 769-235-2898