Provider Demographics
NPI:1407038219
Name:BRENDA ARMENTI-KAPROS MD PC
Entity Type:Organization
Organization Name:BRENDA ARMENTI-KAPROS MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:ARMENTI-KAPROS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:804-746-8020
Mailing Address - Street 1:7497 RIGHT FLANK RD
Mailing Address - Street 2:SUITE 500
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23116-3847
Mailing Address - Country:US
Mailing Address - Phone:804-746-8020
Mailing Address - Fax:
Practice Address - Street 1:7497 RIGHT FLANK RD
Practice Address - Street 2:SUITE 500
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23116-3847
Practice Address - Country:US
Practice Address - Phone:804-746-8020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-04
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101227514261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
1407038219OtherGROUP NPI
C08431Medicare PIN