CENTREVILLE FAMILY PRACTICE NPI 1467532218

NPI Information

NPI: 1467532218
Provider Name: CENTREVILLE FAMILY PRACTICE
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
13890 BRADDOCK RD
SUITE 201
CENTREVILLE, VA
ZIP 20121
Phone: (703) 631-0331
Get Directions

CENTREVILLE FAMILY PRACTICE is a family medicine in Centreville, VA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CENTREVILLE FAMILY PRACTICE NPI is 1467532218. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

13890 BRADDOCK RD
SUITE 201
CENTREVILLE, VA
ZIP 20121-435
Phone: (703) 631-0331
Fax: (703) 631-2573

The provider's authorized official is Richard Boxley Bowles .
The authorized official title is President and has the following contact phone number (703) 631-0331.

The enumeration date for this NPI number is 10/16/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0100537	OTHER	VIRGINIA	UNITED HEALTH CARE
2	84280002	OTHER	VIRGINIA	CAREFIRST BOWLES
3	015385	OTHER	VIRGINIA	ANTHEM BOWLES
4	898405	OTHER	VIRGINIA	AETNA KEYES
5	054086	OTHER	VIRGINIA	ANTHEM KEYES
6	84280003	OTHER	VIRGINIA	CAREFIRST KEYES
7	299284	OTHER	VIRGINIA	AMERIGROUP KEYES
8	299304	OTHER	VIRGINIA	AMERIGROUP BOWLES
9	7118167002	OTHER	VIRGINIA	CIGNA BOWLES
10	7526767001	OTHER	VIRGINIA	CIGNA KEYES
11	5674719	MEDICAID	VIRGINIA
12	898399	OTHER	VIRGINIA	AETNA BOWLES

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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