Bradlee Family Health Center

LBN: Bradlee Family Health Center
Bradlee Family Health Center is an health care organization with primary practice located at 3541 W Braddock Rd 101, Alexandria VA 22302-1915. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Bradlee Family Health Center can be contacted via phone (703) 379-6020, or through Gondor, Leslie George via phone (703) 379-6020.

Contact Information

Primary practice address
3541 W Braddock Rd 101 Alexandria VA 22302-1915
Phone: (703) 379-6020
Fax: (703) 820-8799
Website:
Map and Directions
Authorized official contact:
Name: Gondor, Leslie George Doctor of Medicine (MD)
Phone: (703) 379-6020

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 101223709 Virginia

Profile Details

NPI number 1013335371
LBN Legal business name Bradlee Family Health Center
DBA Doing business as
Authorized official Gondor, Leslie George Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 3rd, 2014
Last updated Apr 3rd, 2014 - about 11 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 1013335371 NPPES
Other 2466957 UNITED HEALTH CARE
Other 4718781 UNITED HEALTH CARE
Other 3681092 UNITED HEALTH CARE
Other 7782527 UNITED HEALTH CARE
Other 283569 UNITED HEALTH CARE
Other 172715 UNITED HEALTH CARE
MEDICAID 5613060 UNITED HEALTH CARE
Other K2040001 UNITED HEALTH CARE

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