| Centreville Family Practice | |
|
13890 Braddock Rd Suite 201 Centreville VA 20121-2435 | |
| (703) 631-0331 | |
| (703) 631-2573 |
| Full Name | Centreville Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 13890 Braddock Rd, Centreville, Virginia |
| Authorized Official Name and Position | Richard Boxley Bowles (PRESIDENT) |
| Authorized Official Contact | 7036310331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centreville Family Practice 13890 Braddock Rd Suite 201 Centreville VA 20121-2435 Ph: (703) 631-0331 | Centreville Family Practice 13890 Braddock Rd Suite 201 Centreville VA 20121-2435 Ph: (703) 631-0331 |
| NPI Number | 1467532218 |
|---|---|
| Provider Enumeration Date | 10/16/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467532218 | NPI | - | NPPES |
| 84280003 | Other | VA | CAREFIRST KEYES |
| 015385 | Other | VA | ANTHEM BOWLES |
| 054086 | Other | VA | ANTHEM KEYES |
| 7118167002 | Other | VA | CIGNA BOWLES |
| 299284 | Other | VA | AMERIGROUP KEYES |
| 7526767001 | Other | VA | CIGNA KEYES |
| 84280002 | Other | VA | CAREFIRST BOWLES |
| 898399 | Other | VA | AETNA BOWLES |
| 0100537 | Other | VA | UNITED HEALTH CARE |
| 5674719 | Medicaid | VA | |
| 299304 | Other | VA | AMERIGROUP BOWLES |
| 898405 | Other | VA | AETNA KEYES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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