Organization
MICHUMI PLLC
Active
Other names
Med Express, MD Express
Organization subpart
No
Provider details
NPI number
Authorized official
BRADEN MILLER (CFO)
(757) 316-5906
Entity
Organization
Contact information
Practice address
120 MONTICELLO AVE, WILLIAMSBURG, VA 23185-2840
(757) 564-3627
(757) 564-6449
Mailing address
856 J CLYDE MORRIS BLVD STE A, NEWPORT NEWS, VA 23601-1318
(757) 316-5800
(757) 534-5190
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49D1026787
CLIA FOR WILLIAMSBURG
DC
01
—
49D1054282
CLIA FOR YORKTOWN
DC
01
—
49D1103778
CLIA FOR NEWPORT NEWS
DC
01
—
DC1821
RRMED
VA
Enumeration date
05/27/2006
Last updated
01/02/2026
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