BURKE PEDIATRICS LLC NPI 1043585029

NPI Information

  • NPI: 1043585029
  • Provider Name: BURKE PEDIATRICS, LLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 8988 FERN PARK DR
    BURKE, VA
    ZIP 22015
  • Phone: (703) 978-6061

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NPI Details

BURKE PEDIATRICS, LLC is a primary care clinic center in Burke, VA. BURKE PEDIATRICS, LLC NPI is 1043585029. The provider is registered as an organization entity type.

The provider's business location address is:

8988 FERN PARK DR
BURKE, VA
ZIP 22015-635
Phone: (703) 978-6061
Fax: (703) 978-0291

The provider's authorized official is Fredric Garner .
The authorized official title is Manging Partner and has the following contact phone number (703) 978-6061.

The enumeration date for this NPI number is 3/9/2012 and was last updated on 3/9/2012.

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
1261QP2300XClinic/CenterPrimary Care0101025357VIRGINIANo
2261QP2300XClinic/CenterPrimary Care0101053539VIRGINIANo
3261QP2300XClinic/CenterPrimary Care0101240590VIRGINIANo
4261QP2300XClinic/CenterPrimary Care0101017927VIRGINIAYes

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
16712355MEDICAIDVIRGINIA
2B93007MEDICARE UPINVIRGINIA
3006707033MEDICAIDVIRGINIA
4E063876MEDICARE UPINVIRGINIA
5G22223MEDICARE UPINVIRGINIA
6010074941MEDICAIDVIRGINIA
7006727352MEDICAIDVIRGINIA

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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