Centreville Family Practice

LBN: Centreville Family Practice
Centreville Family Practice is an health care organization with primary practice located at 13890 Braddock Rd Suite 201, Centreville VA 20121-2435. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Centreville Family Practice can be contacted via phone (703) 631-0331, or through Bowles, Richard Boxley via phone (703) 631-0331.

Contact Information

Primary practice address
13890 Braddock Rd Suite 201 Centreville VA 20121-2435
Fax: (703) 631-2573
Website:
Authorized official contact:
Name: Bowles, Richard Boxley Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1467532218
LBN Legal business name Centreville Family Practice
DBA Doing business as
Authorized official Bowles, Richard Boxley Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 16th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1467532218 NPPES
Virginia Other 84280003 CAREFIRST KEYES
Virginia Other 015385 CAREFIRST KEYES
Virginia Other 054086 CAREFIRST KEYES
Virginia Other 7118167002 CAREFIRST KEYES
Virginia Other 299284 CAREFIRST KEYES
Virginia Other 7526767001 CAREFIRST KEYES
Virginia Other 84280002 CAREFIRST KEYES
Virginia Other 898399 CAREFIRST KEYES
Virginia Other 0100537 CAREFIRST KEYES
Virginia MEDICAID 5674719 CAREFIRST KEYES
Virginia Other 299304 CAREFIRST KEYES
Virginia Other 898405 CAREFIRST KEYES

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