BRANDON AVENUE PEDIATRICS NPI 1215334941

NPI Information

  • NPI: 1215334941
  • Provider Name: BRANDON AVENUE PEDIATRICS
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • CLIA Number: 49D2178539
  • Address: 6126 BRANDON AVE
    SPRINGFIELD, VA
    ZIP 22150
  • Phone: (571) 830-6337

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NPI Details

BRANDON AVENUE PEDIATRICS is a specialist in Springfield, VA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. BRANDON AVENUE PEDIATRICS NPI is 1215334941. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6126 BRANDON AVE
SPRINGFIELD, VA
ZIP 22150-610
Phone: (571) 830-6337

The provider's authorized official is Saad O. Al-hariri .
The authorized official title is President and has the following contact phone number (571) 830-6337.

The CLIA number assigned to this NPI record is 49D2178539 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/24/2014 and was last updated on 11/24/2014.

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
1174400000XSpecialist0101051396VIRGINIAYes

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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