UVA HEALTH BULL RUN FAMILY MEDICINE BRISTOW
NPI 1962172817
Family Medicine in Bristow, VA

NPI Status: Active since September 14, 2021

Contact Information

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

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  • Organization
  • Family Medicine
  • CLIA Number: 49D2087357
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-20-2026

About UVA HEALTH BULL RUN FAMILY MEDICINE BRISTOW

This page provides the complete NPI Profile along with additional information for Uva Health Bull Run Family Medicine Bristow, a primary care provider established in Bristow, Virginia operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1962172817 assigned on September 2021. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Uva Health Bull Run Family Medicine Bristow operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Uva Health Bull Run Family Medicine Bristow. The authorized official of this NPI record is Charles D Coder (Cfo)

NPI
1962172817
Provider Legal Name
UVA COMMUNITY HEALTH MEDICAL GROUP, LLC
Other Organization Name
UVA HEALTH BULL RUN FAMILY MEDICINE BRISTOW
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
10322 BRISTOW CENTER DR BRISTOW, VA 20136
Location Phone
(571) 284-4230
Location Fax
(703) 257-1495
Mailing Address
PO BOX 748613 ATLANTA, GA 30384
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-14-2021
Last Update Date
09-26-2023
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A primary care provider (PCP) like Uva Health Bull Run Family Medicine Bristow sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHARLES D CODER

Authorized Official Title
CFO
Authorized Official Phone
(804) 835-2069

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
49D2087357
Facility Type
Physician Office
Certificate Effective Date
November 21, 2024
Certificate Expiration Date
November 20, 2026
Laboratory Director
ROBERT A. LATIMER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Uva Health Bull Run Family Medicine Bristow to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for UVA HEALTH BULL RUN FAMILY MEDICINE BRISTOW

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1962172817
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2912227482
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 2 + 2 + 2 + 7 + 4 + 8 + 2 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1962172817 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1689045239CAROLINA MEDICORP ENTERPRISES INC
Organization
Emergency Medicine10322 BRISTOW CENTER DR
BRISTOW, VA 20136
(571) 284-4245
1841216900 BELINDA B BERAME M.D.
Individual
Legal Medicine10322 BRISTOW CENTER DR
BRISTOW, VA 20136
(571) 284-4245
1922008291 FREDERICK W PARKER III M.D.
Individual
Family Medicine10322 BRISTOW CENTER DR
BRISTOW, VA 20136
(571) 284-4230
1972648103DR. CARLOS MARTINEZ JR. MD
Individual
Family Medicine10322 BRISTOW CENTER DR
BRISTOW, VA 20136
(571) 284-4245
1568824829 CHRISTOPHER CURTIS FRYMOYER
Individual
Family Medicine10322 BRISTOW CENTER DR
BRISTOW, VA 20136
(571) 284-4230
1184917171 ZEESHAN JAVAID MD
Individual
Family Medicine10322 BRISTOW CENTER DR
BRISTOW, VA 20136
(571) 284-4245
1013203546 MINA MARIE DEMARCO D.O.
Individual
Family Medicine10322 BRISTOW CENTER DR
BRISTOW, VA 20136
(571) 284-4230
1003044140 REBECCA A REHMANN D.O.
Individual
Family Medicine10322 BRISTOW CENTER DR
BRISTOW, VA 20136
(517) 284-4245
1174228522 MICHELLE IESHA WERNER MSATC, CSCS
Individual
Family Medicine (Sports Medicine)10322 BRISTOW CENTER DR
BRISTOW, VA 20136
(571) 284-4230
1346536075 JANICE SOLIVEN M.D.
Individual
Family Medicine10322 BRISTOW CENTER DR
BRISTOW, VA 20136
(571) 284-4230
1669819389DR. GANDHARV TELHAN D.O.
Individual
Family Medicine10322 BRISTOW CENTER DR
BRISTOW, VA 20136
(571) 284-4245
1972978195UVA COMMUNITY HEALTH MEDICAL GROUP, LLC
Organization
Emergency Medicine10322 BRISTOW CENTER DR
BRISTOW, VA 20136
(571) 284-4245

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962172817, enumerated in the NPI registry as an "organization" on September 14, 2021

The provider is located at 10322 Bristow Center Dr Bristow, Va 20136 and the phone number is (571) 284-4230

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

The provider's CLIA number is 49D2087357 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on September 14, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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