Active NPI
Elizabeth Ann Brantley, MD
- Pediatrics Physician
- Reston, VA
National Provider Identifier
1174726939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0101247803
- Practice address
- 1800 Town Center Dr
Reston, VA 20190-3215 - Phone
- (703) 435-0808
- NPI assigned
- Jun 8, 2007
- Last updated
- Oct 31, 2025
- 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 | 0101247803 | VA | Primary |
Addresses
Primary practice location
1800 Town Center Dr
Reston, VA 20190-3215
Mailing address
1800 Town Center Dr Ste 413
Reston, VA 20190-3240
Phone (703) 435-0808
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101247803 | VA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatrix Medical Group of the Mid-Atlantic PC | Past | Accepting new patients |
Interoperability endpoints
- elizabeth.brantley@tdsr.eclinicaldirectplus.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Maternal & Fetal Medicine Physician
- Rockville, MD
- NPI 1205859691
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761868800000",
"number": "1174726939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 TOWN CENTER DR STE 413",
"city": "RESTON",
"state": "VA",
"postal_code": "201903240",
"telephone_number": "703-435-0808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 TOWN CENTER DR",
"city": "RESTON",
"state": "VA",
"postal_code": "201903215",
"telephone_number": "703-435-0808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANTLEY",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-08",
"last_updated": "2025-10-31",
"certification_date": "2025-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101247803",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reston, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.