TELE-PHYSICIANS P.C. NPI 1174939771

NPI Information

  • NPI: 1174939771
  • Provider Name: TELE-PHYSICIANS, P.C.
  • Classification: Psychiatry & Neurology - 2084V0102X
  • Specialization: Vascular Neurology
  • Entity Type: Organization
  • Address: 1768 BUSINESS CENTER DR
    SUITE 100
    RESTON, VA
    ZIP 20190
  • Phone: (703) 225-7104

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NPI Details

TELE-PHYSICIANS, P.C. is a vascular neurology psychiatry neurology in Reston, VA. The provider is vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage. TELE-PHYSICIANS, P.C. NPI is 1174939771. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1768 BUSINESS CENTER DR
SUITE 100
RESTON, VA
ZIP 20190-324
Phone: (703) 225-7104

The provider's authorized official is Brantley T Jolly .
The authorized official title is Chief Medical Officer and has the following contact phone number (571) 224-1069.

The enumeration date for this NPI number is 7/3/2014 and was last updated on 10/12/2018.

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
1207RC0000XInternal MedicineCardiovascular DiseaseNo
2207RC0200XInternal MedicineCritical Care MedicineNo
3207X00000XOrthopaedic SurgeryNo
42084N0400XPsychiatry & NeurologyNeurologyNo
52084P0800XPsychiatry & NeurologyPsychiatryNo
62084V0102XPsychiatry & NeurologyVascular NeurologyYes

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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