Organization Active NPI

Lee Neurosurgery PC

  • Neurological Surgery Physician
  • Alexandria, VA
National Provider Identifier
1073849824
Registry record updated Oct 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
0101221427 Issued in VA
Legal business name
LEE NEUROSURGERY PC
Practice address
8101 Hinson Farm Rd
Suite 112
Alexandria, VA 22306-3403
Phone
(703) 780-7908
Fax
(703) 799-2118
NPI assigned
Oct 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2009

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

Authorized official

Name
Dr. Bothwell Graves Lee, M.D.
Title
Proprietor
Phone
(703) 780-7908

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X 0101221427 VA Primary

Addresses

Primary practice location

8101 Hinson Farm Rd
Suite 112
Alexandria, VA 22306-3403

Mailing address

8101 Hinson Farm Road
Suite 112
Alexandria, VA 22306-3404
Phone (703) 780-7908

National Provider Directory

National Provider Directory

Locations

8101 Hinson Farm Rd
Ste 112
Alexandria, VA 22306
Phone (703) 780-7908

NPI Registry JSON

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

{
    "created_epoch": "1256774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256774400000",
    "number": "1073849824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 HINSON FARM ROAD",
            "address_2": "SUITE 112",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063404",
            "telephone_number": "703-780-7908",
            "fax_number": "703-799-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 HINSON FARM RD",
            "address_2": "SUITE 112",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063403",
            "telephone_number": "703-780-7908",
            "fax_number": "703-799-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE NEUROSURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-29",
        "last_updated": "2009-10-29",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "BOTHWELL",
        "authorized_official_middle_name": "GRAVES",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "703-780-7908",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "VA",
            "license": "0101221427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.