BRISTOW PEDIATRICS NPI 1003178005

NPI Information

  • NPI: 1003178005
  • Provider Name: BRISTOW PEDIATRICS
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • CLIA Number: 49D0225370
  • Address: 10492 BRISTOW CENTER DR
    BRISTOW, VA
    ZIP 20136
  • Phone: (571) 379-4246

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NPI Details

BRISTOW PEDIATRICS is a pediatrics in Bristow, VA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. BRISTOW PEDIATRICS NPI is 1003178005. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10492 BRISTOW CENTER DR
BRISTOW, VA
ZIP 20136-202
Phone: (571) 379-4246
Fax: (540) 379-4276

The provider's authorized official is Gail Lynn Dolan .
The authorized official title is Owner and has the following contact phone number (571) 379-4246.

The CLIA number assigned to this NPI record is 49D0225370 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/14/2012 and was last updated on 12/3/2013.

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
1208000000XPediatrics0101234434VIRGINIAYes

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: 11/21/2025

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