BLMD of Loudoun, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

101050030 Issued in VA

Legal business name

BLMD OF LOUDOUN, INC.

Doing business as

BodyLogicMD of Loudoun

Practice address

46165 Westlake Dr
100
Potomac Falls, VA 20165-5872

Phone

(888) 799-5816

Fax

(703) 433-9386

NPI assigned

Mar 27, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Heidi Archer, M.D.

Title

Director

Phone

(888) 799-5816

Specialties & licenses 1

Addresses

Other names 1

• BodyLogicMD of Loudoun Doing business as

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

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238112000000",
    "number": "1043452675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46165 WESTLAKE DR",
            "address_2": "100",
            "city": "POTOMAC FALLS",
            "state": "VA",
            "postal_code": "201655872",
            "telephone_number": "888-799-5816",
            "fax_number": "703-433-9386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46165 WESTLAKE DR",
            "address_2": "100",
            "city": "POTOMAC FALLS",
            "state": "VA",
            "postal_code": "201655872",
            "telephone_number": "888-799-5816",
            "fax_number": "703-433-9386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLMD OF LOUDOUN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-27",
        "last_updated": "2009-03-27",
        "status": "A",
        "authorized_official_last_name": "ARCHER",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "888-799-5816",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "101050030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BodyLogicMD of Loudoun",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Abdella Anwarzai
• Heidi Kambrod Archer, MD
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• Sukhmani Bhogal
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• Robert Waring Bryce, DDS
• Cac Thanh Bui
• Wendy Anne Buttling, MS, CCC-SLP
• Caring Heart Serving Hands LLC

• Specialist in Potomac Falls, VA
• Providers in Potomac Falls, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; 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.