| Broadlands Family Practice At Brambleton | |
|
22895 Brambleton Place Suite 200 Brambleton VA 20148 | |
| (703) 726-0003 | |
| (703) 726-6444 |
| Full Name | Broadlands Family Practice At Brambleton |
|---|---|
| Speciality | Family Medicine |
| Location | 22895 Brambleton Place, Brambleton, Virginia |
| Authorized Official Name and Position | James P Jenkins (PRESIDENT) |
| Authorized Official Contact | 7032559100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broadlands Family Practice At Brambleton 22895 Brambleton Place Suite 200 Brambleton VA 20148 Ph: (703) 726-0003 | Broadlands Family Practice At Brambleton 22895 Brambleton Place Suite 200 Brambleton VA 20148 Ph: (703) 726-0003 |
| NPI Number | 1871762849 |
|---|---|
| Provider Enumeration Date | 02/25/2008 |
| Last Update Date | 02/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871762849 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Smart Doctors, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 42603 Good Hope Ln, Brambleton, VA 20148 Phone: 646-221-0941 |