Provider Demographics
NPI:1932121142
Name:HILBURN, RICHARD BIVINGS (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:BIVINGS
Last Name:HILBURN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11524 HEMINGWAY DR
Mailing Address - Street 2:
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20194-1252
Mailing Address - Country:US
Mailing Address - Phone:703-606-5211
Mailing Address - Fax:
Practice Address - Street 1:492 ELDEN ST
Practice Address - Street 2:
Practice Address - City:HERNDON
Practice Address - State:VA
Practice Address - Zip Code:20170-4513
Practice Address - Country:US
Practice Address - Phone:571-524-5663
Practice Address - Fax:571-701-2747
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101227521202C00000X, 207R00000X, 207RH0002X, 207RG0300X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
No202C00000XAllopathic & Osteopathic PhysiciansIndependent Medical Examiner
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine