Organization
PRIMARY HEALTH GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE BERGAMO (VP)
(804) 267-5950
Entity
Organization
Contact information
Practice address
13861 HULL STREET RD, MIDLOTHIAN, VA 23112-2091
(804) 739-0910
Mailing address
2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4692
(615) 373-7406
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578504452
NPI
VA
05
—
1578504452
—
VA
01
—
CA2793
RAILROAD MEDICARE
VA
Enumeration date
06/09/2006
Last updated
11/20/2025
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