Burke Pediatrics, Llc

LBN: Burke Pediatrics, Llc
Burke Pediatrics, Llc is an health care organization with primary practice located at 8988 Fern Park Dr , Burke VA 22015-1635. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Burke Pediatrics, Llc can be contacted via phone (703) 978-6061, or through Garner, Fredric via phone (703) 978-6061.

Contact Information

Primary practice address
8988 Fern Park Dr Burke VA 22015-1635
Phone: (703) 978-6061
Fax: (703) 978-0291
Website:
Map and Directions
Authorized official contact:
Name: Garner, Fredric Doctor of Medicine (MD)
Phone: (703) 978-6061

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 0101017927 Virginia
Ambulatory Health Care Facilities / Primary Care 261QP2300X 0101025357 Virginia
Ambulatory Health Care Facilities / Primary Care 261QP2300X 0101053539 Virginia
Ambulatory Health Care Facilities / Primary Care 261QP2300X 0101240590 Virginia

Profile Details

NPI number 1043585029
LBN Legal business name Burke Pediatrics, Llc
DBA Doing business as
Authorized official Garner, Fredric Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 9th, 2012
Last updated Mar 9th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043585029 NPPES
Virginia MEDICAID 006727352
Virginia MEDICAID 010074941
Virginia MEDICAID 6712355
Virginia MEDICAID 006707033

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