Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Board Certified Family Practice, Inc

Organization Family Medicine Physician · NPI 1972715274

Board Certified Family Practice, Inc provides Family Medicine Physician services in Virginia Beach, Virginia. Licensed in Virginia. Registered with an NPI since 2007.

Licensed in
VA
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2020 S Independence Blvd Ste 3
Virginia Beach, VA 23453-4776 Not confirmed with CMS for 14 years — call before visiting
Phone: (757) 471-6977
Fax: (757) 471-5300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0101045379 (VA)

Record details

NPI number1972715274
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gautam Desai — Owner · (757) 471-6977
NPI enumeratedMay 7, 2007
Last updated in NPPESMarch 14, 2012
Mailing address2020 S Independence Blvd Ste 3, Virginia Beach, VA 23453-4776

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