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BURKE FAMILY PRACTICE P.C. NPI 1487765830


NPI Profile

NPI: 1487765830
Provider Name: BURKE FAMILY PRACTICE P.C.
Classification:Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 49D0221659

Address:
9409 OLD BURKE LAKE RD # B
BURKE, VA
ZIP 22015
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Phone: (703) 978-4200

BURKE FAMILY PRACTICE P.C. is a family medicine in Burke, VA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BURKE FAMILY PRACTICE P.C. NPI is 1487765830. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9409 OLD BURKE LAKE RD # B
BURKE, VA
ZIP 22015-127
Phone: (703) 978-4200
Fax: (703) 503-8263

The provider's authorized official is Jan Twomey .
The authorized official title is Practice Manager and has the following contact phone number (703) 978-4200.

The CLIA number assigned to this NPI record is 49D0221659 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/31/2006 and was last updated on 6/3/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1405805MEDICARE ID-TYPE UNSPECIFIEDVIRGINIA

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: 4/11/2021

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