Bristow Run Family Practice, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101230910 Issued in VA

Legal business name

BRISTOW RUN FAMILY PRACTICE, PC

Practice address

14540 John Marshall Hwy
Suite 104
Gainesville, VA 20155-1691

Phone

(703) 753-9799

Fax

(703) 753-9792

NPI assigned

Sep 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Steven J Tang, M.D.NPI 1497752604

Title

President

Phone

(703) 753-9799

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Steven J Tang, MD

  • Family Medicine Physician
  • Gainesville, VA
  • NPI 1497752604
  NPD (past) Authorized official

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114018249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14540 JOHN MARSHALL HWY",
            "address_2": "SUITE 104",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201551691",
            "telephone_number": "703-753-9799",
            "fax_number": "703-753-9792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14540 JOHN MARSHALL HWY",
            "address_2": "SUITE 104",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201551691",
            "telephone_number": "703-753-9799",
            "fax_number": "703-753-9792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRISTOW RUN FAMILY PRACTICE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TANG",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-753-9799",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101230910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN DR. STEVEN TANG",
            "identifier": "H28451",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Bouchard, LPTA
• Leslie Karina Bourgeois, PT, DPT
• Kathryn Marie Bowler, LCSW
• Gurvir Brar
• Bristow Run Family Medicine
• Rebecca Brosch, PSY.D.
• Julia A Bruce, M.D.
• Sonya Lynn Bryce, NCC, LSATP, LPC
• Thu Anh Bui, PHARMD
• Toanthien S Bui, PHARMACIST

• Family Medicine Physician in Gainesville, VA
• Providers in Gainesville, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.