MEDICARE: BARE FACE RVA, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician

General Provider Information

NPI Number	:	1124903901
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BARE FACE RVA, LLC

Provider Business Mailing Address
First Line	:	4605 BROAD HILL DR
Second Line	:
City	:	HENRICO
State	:	VA
Zip	:	23233-7851
Country	:	US
Telephone Number	:	804-731-8903
Fax Number	:

Provider Business Practice Location Address
First Line	:	11535 NUCKOLS RD STE E
Second Line	:
City	:	GLEN ALLEN
State	:	VA
Zip	:	23059-5671
Country	:	US
Telephone Number	:	804-349-0291
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PHYSICIAN
Name	:	DR. SHERITA NICOLE CHAPMAN
Credential	:	MD
Telephone Number	:	804-731-8903

Provider Enumeration Date	:	08/09/2025
Last Update Date	:	08/09/2025

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