BIVINS FAMILY LLC NPI 1780468223

NPI Information

  • NPI: 1780468223
  • Provider Name: BIVINS FAMILY LLC
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Organization
  • Address: 140 Q ST NE STE 100
    WASHINGTON, DC
    ZIP 20002
  • Phone: (202) 636-9411

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NPI Details

BIVINS FAMILY LLC is a nephrology internal medicine in Washington, DC. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. BIVINS FAMILY LLC NPI is 1780468223. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

140 Q ST NE STE 100
WASHINGTON, DC
ZIP 20002-101
Phone: (202) 636-9411
Fax: (202) 636-9415

The provider's authorized official is Anthony Dereck Bivins .
The authorized official title is Sole Mbr and has the following contact phone number (202) 288-9573.

The enumeration date for this NPI number is 8/24/2023 and was last updated on 8/24/2023.

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
1207RN0300XInternal MedicineNephrologyYes

What is NPI?

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This page was last updated on: 11/21/2025

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