Western Branch OB/GYN – Obstetrics & Gynecology Physician, NPI 1104851104

Western Branch OB/GYN is a healthcare provider. based in Portsmouth, Virginia. specializing in Obstetrics & Gynecology Physician. The NPI Number for Western Branch OB/GYN is 1104851104

Main info

Organization
Name
Western Branch OB/GYN
NPI
1104851104
Phone
(757) 484-2272
Address
1040 UNIVERSITY BLVD STE 205
Authorized Official
STEPHAN QUIRICONI CFO
Enumeration Date
11 July 2006
Last Update Date
29 May 2019
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness80
Years active:19State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Western Branch OB/GYN

  • 1040 UNIVERSITY BLVD STE 205

    PORTSMOUTH, VA 237032650

    Phone: (757) 484-2272

    Fax: (757) 484-4620

    Type: Location

  • 8580 MAGELLAN PKWY

    RICHMOND, VA 232271149

    Phone: (804) 627-5462

    Fax: (866) 449-0896

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 23703)

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Reviews

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Frequently asked questions

What federal number belongs to Western Branch OB/GYN?
The federal identifier for Western Branch OB/GYN is NPI 1104851104.
Is Western Branch OB/GYN's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does Western Branch OB/GYN work in?
You can think of Western Branch OB/GYN as practicing within Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What location shows for Western Branch OB/GYN?
We surface Portsmouth, Virginia for Western Branch OB/GYN based on available NPPES addresses.
Is Western Branch OB/GYN a real provider?
This page reflects official NPPES data for NPI 1104851104. Always confirm identity and privileges with the practice and licensing boards.

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