Plastic Surgery Associates of Northern Virginia, LTD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

0101043977 Issued in VA

Legal business name

PLASTIC SURGERY ASSOCIATES OF NORTHERN VIRGINIA, LTD

Practice address

1860 Town Center Dr Ste 180
Reston, VA 20190-5905

Phone

(571) 525-2316

Fax

(571) 313-0415

NPI assigned

Aug 1, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Bruce Michael Freedman, MDNPI 1245404524

Title

Physician/Owner

Phone

(571) 525-2316

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bruce Michael Freedman, DPM

  • Primary Podiatric Medicine Podiatrist
  • Richlands, VA
  • NPI 1245404524
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588204800000",
    "number": "1043226731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 TOWN CENTER DR STE 180",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905905",
            "telephone_number": "571-525-2316",
            "fax_number": "571-313-0415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 TOWN CENTER DR STE 180",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905905",
            "telephone_number": "571-525-2316",
            "fax_number": "571-313-0415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC SURGERY ASSOCIATES OF NORTHERN VIRGINIA, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A",
        "authorized_official_last_name": "FREEDMAN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "571-525-2316",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "VA",
            "license": "0101043977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frederick Pieri, CSA
• Cynthia Pilon, LCSW
• Pinnar Surgical Associates, LTD
• Ashley M Pipino, M.S., L.P.C.
• Mary Lou Plantz, LCSWR
• Alan J Plotner, M.D.
• Robert Stephen Podolsky, MD
• Byron D. Poindexter, M.D.
• Surekha Pokharel
• Garima Pokhrel, NP

• Plastic Surgery Physician in Reston, VA
• Providers in Reston, VA by specialty
• Plastic Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.