# PREMISE HEALTH OF VIRGINIA MEDICAL, P.C

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Truist Richmond Byrd
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588275986
- **Authorized official:** DR. JON LEIZMAN MD (PRESIDENT)
- **Authorized official phone:** (216) 479-9063

## Contact information

- **Practice address:** 901 E BYRD ST STE 190, RICHMOND, VA 23219-4077
- **Practice address phone:** (205) 445-2213
- **Practice address fax:** (205) 423-8139
- **Mailing address:** 5500 MARYLAND WAY STE 120, BRENTWOOD, TN 37027-4993

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/11/2020
- **Last updated:** 08/15/2022