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UVA COMMUNITY HEALTH MEDICAL GROUP LLC NPI 1962172817


NPI Information

NPI: 1962172817
Provider Name: UVA COMMUNITY HEALTH MEDICAL GROUP, LLC

Doing Business As: UVA HEALTH BULL RUN FAMILY MEDICINE BRISTOW

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 49D2087357

Address:
10322 BRISTOW CENTER DR
BRISTOW, VA
ZIP 20136
Phone: (571) 284-4230
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UVA COMMUNITY HEALTH MEDICAL GROUP, LLC is a family medicine in Bristow, 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. UVA COMMUNITY HEALTH MEDICAL GROUP, LLC NPI is 1962172817. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Uva Health Bull Run Family Medicine Bristow.

The provider's business location address is:

10322 BRISTOW CENTER DR
BRISTOW, VA
ZIP 20136-201
Phone: (571) 284-4230
Fax: (703) 257-1495

The provider's authorized official is Charles D Coder .
The authorized official title is Cfo and has the following contact phone number (804) 835-2069.

The CLIA number assigned to this NPI record is 49D2087357 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/14/2021 and was last updated on 9/26/2023.


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
1207Q00000XFamily MedicineYes

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: 5/5/2024

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