Active NPI
Bernadette Wells, M.D.
- Pediatrics Physician
- Fredericksburg, VA
National Provider Identifier
1063409910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0101044803
- Practice address
- 4107 Lafayette Blvd
Suite 2
Fredericksburg, VA 22408-4266 - Phone
- (540) 891-0246
- Fax
- (540) 891-0584
- NPI assigned
- Oct 5, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0101044803 | VA | Primary |
Addresses
Primary practice location
4107 Lafayette Blvd
Suite 2
Fredericksburg, VA 22408-4266
Mailing address
4107 Lafayette Blvd
Suite 2
Fredericksburg, VA 22408-4266
Phone (540) 891-0246
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101044803 | VA | MD | Pediatrics Physician |
Interoperability endpoints
- https://api.platform.athenahealth.com/12755/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1063409910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4107 LAFAYETTE BLVD",
"address_2": "SUITE 2",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224084266",
"telephone_number": "540-891-0246",
"fax_number": "540-891-0584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4107 LAFAYETTE BLVD",
"address_2": "SUITE 2",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224084266",
"telephone_number": "540-891-0246",
"fax_number": "540-891-0584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "BERNADETTE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-05",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101044803",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.