| Bradlee Family Health Center | |
|
3541 W Braddock Rd 101 Alexandria VA 22302-1915 | |
| (703) 379-6020 | |
| (703) 820-8799 |
| Full Name | Bradlee Family Health Center |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3541 W Braddock Rd, Alexandria, Virginia |
| Authorized Official Name and Position | Leslie George Gondor (OWNER/PRESIDENT) |
| Authorized Official Contact | 7033796020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bradlee Family Health Center 3541 W Braddock Rd Suite 101 Alexandria VA 22302-1915 Ph: (703) 379-6020 | Bradlee Family Health Center 3541 W Braddock Rd 101 Alexandria VA 22302-1915 Ph: (703) 379-6020 |
| NPI Number | 1013335371 |
|---|---|
| Provider Enumeration Date | 04/03/2014 |
| Last Update Date | 04/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013335371 | NPI | - | NPPES |
| 2466957 | Other | UNITED HEALTH CARE | |
| 4718781 | Other | CIGNA | |
| 3681092 | Other | AETNA HMO | |
| 7782527 | Other | AETNA PPO | |
| 283569 | Other | VA | INTOTAL |
| 172715 | Other | ANTHEM HEALTHKEEPERS | |
| 5613060 | Medicaid | VA | |
| K2040001 | Other | DC | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 101223709 (Virginia) | Primary |
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