Pontz, Bradford S

Pontz, Bradford S is an individual health care provider with primary practice located at 8316 Arlington Blvd Suite 310, Fairfax VA 22031-5207. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Pontz, Bradford S can be contacted via phone (703) 641-0333.

Contact Information

Primary practice address
8316 Arlington Blvd Suite 310 Fairfax VA 22031-5207
Phone: (703) 641-0333
Fax: (703) 573-3316
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101055063 Virginia

Profile Details

NPI number 1225097298
LBN Legal business name Pontz, Bradford S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225097298 NPPES
Virginia Other 25790006 CAREFIRST BC/BS
Virginia Other 114536 CAREFIRST BC/BS
Virginia MEDICAID 010132754 CAREFIRST BC/BS

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