BRADLEE FAMILY HEALTH CENTER NPI 1013335371

NPI Information

NPI: 1013335371
Provider Name: BRADLEE FAMILY HEALTH CENTER
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
3541 W BRADDOCK RD
101
ALEXANDRIA, VA
ZIP 22302
Phone: (703) 379-6020
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BRADLEE FAMILY HEALTH CENTER is a primary care clinic center in Alexandria, VA. BRADLEE FAMILY HEALTH CENTER NPI is 1013335371. The provider is registered as an organization entity type.

The provider's business location address is:

3541 W BRADDOCK RD
101
ALEXANDRIA, VA
ZIP 22302-915
Phone: (703) 379-6020
Fax: (703) 820-8799

The provider's authorized official is Leslie George Gondor .
The authorized official title is Owner/president and has the following contact phone number (703) 379-6020.

The enumeration date for this NPI number is 4/3/2014 and was last updated on 4/3/2014.

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	261QP2300X	Clinic/Center	Primary Care	101223709	VIRGINIA	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	4718781	OTHER		CIGNA
2	027396	MEDICARE UPIN
3	5613060	MEDICAID	VIRGINIA
4	172715	OTHER		ANTHEM HEALTHKEEPERS
5	3681092	OTHER		AETNA HMO
6	283569	OTHER	VIRGINIA	INTOTAL
7	2466957	OTHER		UNITED HEALTH CARE
8	7782527	OTHER		AETNA PPO
9	K2040001	OTHER	DISTRICT OF COLUMBIA	BCBS

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: 11/14/2023

NPI Synchronization or Removal

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