Individual
RICHARD S. PERGOLIZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2602 BUFORD RD, NORTH CHESTERFIELD, VA 23235
(804) 272-8806
(804) 272-2909
Mailing address
2602 BUFORD RD, NORTH CHESTERFIELD, VA 23235-3422
(804) 272-8806
(804) 272-2909
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
0101231383
VA
2085N0700X
Neuroradiology Physician
0101231383
VA
2085N0904X
Nuclear Radiology Physician
0101231383
VA
2085P0229X
Pediatric Radiology Physician
0101231383
VA
2085R0202X
Diagnostic Radiology Physician
0101231383
VA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
0101231383
VA
2085U0001X
Diagnostic Ultrasound Physician
0101231383
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0060
CAREFIRST
VA
05
—
1053345256
—
VA
01
—
2680623
AETNA
VA
Enumeration date
07/11/2006
Last updated
08/30/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us