Active NPI
Specialty Physicians of Northern Virginia, LLC
- Surgery Physician
- Dulles, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- SPECIALTY PHYSICIANS OF NORTHERN VIRGINIA, LLC
- Practice address
- 24430 Stone Springs Blvd
Dulles, VA 20166-2267 - Phone
- (703) 665-2430
- NPI assigned
- Jul 24, 2009
- Last updated
- Nov 20, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Suzanne Bergamo
- Title
- VP
- Phone
- (804) 267-5950
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
24430 Stone Springs Blvd
Dulles, VA 20166-2267
Mailing address
2000 Health Park Dr
Brentwood, TN 37027-4692
Phone (615) 373-7406
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114157054 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
1429 N Quincy St
Arlington, VA 22207
Phone (703) 558-5766
3 E Main St
Berryville, VA 22611
Phone (540) 955-5051
24420 Stone SPGS Blvd
Ste 550
Dulles, VA 20166
Phone (703) 726-1600
24430 Stone Springs Blvd
Ste 300
Dulles, VA 20166
Phone (703) 665-2430
7051 Heathcote Village Way
Ste 145
Gainesville, VA 20155
Phone (703) 665-2430
1850 Town Center Pkwy
Ste 311
Reston, VA 20190
Phone (703) 433-8700
1850 Town Center Pkwy
Ste 331
Reston, VA 20190
1850 Town Center Pkwy
Ste 440
Reston, VA 20190
Phone (703) 435-4320
1850 Town Center Pkwy
Ste 463
Reston, VA 20190
Phone (571) 910-7877
1860 Town Center Dr
Ste 440
Reston, VA 20190
Phone (571) 554-8950
24420 Stone SPGS Blvd 550
Sterling, VA 20166
Practitioners & affiliated clinicians
Practitioners 18
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Obstetrics & Gynecology Physician
- Reston, VA
- NPI 1154390680
-
- Obstetrics & Gynecology Physician
- Fairfax, VA
- NPI 1356780928
-
- Obstetrics & Gynecology Physician
- Dulles, VA
- NPI 1891875183
-
- Obstetrics & Gynecology Physician
- Dulles, VA
- NPI 1972591600
-
- Family Nurse Practitioner
- Washington, DC
- NPI 1598505638
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248393600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763596800000",
"number": "1114157054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 HEALTH PARK DR",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370274692",
"telephone_number": "615-373-7406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24430 STONE SPRINGS BLVD",
"city": "DULLES",
"state": "VA",
"postal_code": "201662267",
"telephone_number": "703-665-2430"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPECIALTY PHYSICIANS OF NORTHERN VIRGINIA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-24",
"last_updated": "2025-11-20",
"certification_date": "2025-11-20",
"status": "A",
"authorized_official_last_name": "BERGAMO",
"authorized_official_first_name": "SUZANNE",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "804-267-5950"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1114157054",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dulles, VA
- Mital Sarada, RD
- Laylan Shali, MD
- Darrell Eugene Singer, MD
- Sangeeta Sinha, MD
- Smilez Pediatric Dental Group of Loudoun PLLC (Smilez Pediatric Dental Group)
- Stonesprings Anesthesia Associates, LTD
- Stonesprings Gastroenterology PLLC (N/a)
- Stonesprings Surgicenter, LLC (Stone Springs Ambulatory Surgery Center)
- Susan Tang, PHYSICIAN ASSISTANT
- The Cardiovascular Group, PC (Virginia Heart)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.