Organization Active NPI

Orthopedic Clinic of Central Virginia P C

  • Orthopaedic Surgery Physician
  • Stafford, VA
National Provider Identifier
1104977289
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ORTHOPEDIC CLINIC OF CENTRAL VIRGINIA P C
Practice address
20 P G a Dr Ste 203
Stafford, VA 22554-8218
Phone
(540) 370-1600
Fax
(540) 370-1699
NPI assigned
Jan 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Authorized official

Name
David Biddulph
Title
Director of Operations
Phone
(540) 370-4330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

20 P G a Dr Ste 203
Stafford, VA 22554-8218

Mailing address

PO Box 1750
Stafford, VA 22555-1750
Phone (540) 370-1600

National Provider Directory

National Provider Directory

Locations

20 P G a Dr
Ste 203
Stafford, VA 22554
Phone (540) 370-1600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681776000000",
    "number": "1104977289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1750",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225551750",
            "telephone_number": "540-370-1600",
            "fax_number": "540-370-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 P G A DR STE 203",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225548218",
            "telephone_number": "540-370-1600",
            "fax_number": "540-370-1699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC CLINIC OF CENTRAL VIRGINIA P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A",
        "authorized_official_last_name": "BIDDULPH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "540-370-4330"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.