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Commonwealth Primary Care

Internal Medicine Physician in Glen Allen, VA · enumerated 2006 · authorized official Kelly Shepherd, Hospitalist Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1336157858

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Registry record

Entity type Organization (Type 2)
Legal business name Commonwealth Primary Care
Other name <Unavail>
Practice address 4050 Innslake Dr, Ste 308, Glen Allen, VA, 23060
Fax (804) 521-5312
Enumeration date Aug 3, 2006
Last updated in NPPES Nov 8, 2007

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Kelly Shepherd
Title Hospitalist Administrator

Other identifiers

Identifier Type State Issuer
139444 Other VA ANTHEM BCBS
CC6597 Other VA MEDICARE RR
139440 Other VA ANTHEM BCBS

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Commonwealth Primary Care?
The NPI for Commonwealth Primary Care is 1336157858, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Commonwealth Primary Care?
NPPES lists Kelly Shepherd (Hospitalist Administrator) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-11-08.