Healthcare Provider Details

I. General information

NPI: 1326019373
Provider Name (Legal Business Name): BRIAN GILBERT NORWOOD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/29/2006
Last Update Date: 10/30/2023
Certification Date: 10/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2301 GENERAL BOOTH BLVD
VIRGINIA BEACH VA
23456-7755
US

IV. Provider business mailing address

2301 GENERAL BOOTH BLVD
VIRGINIA BEACH VA
23456-7755
US

V. Phone/Fax

Practice location:
  • Phone: 757-395-1920
  • Fax:
Mailing address:
  • Phone: 757-395-1920
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number2023-01920
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0101237021
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: