Tele-Physicians, P.C.

Primary specialty

Vascular Neurology PhysicianTaxonomy code 2084V0102X

Legal business name

TELE-PHYSICIANS, P.C.

Practice address

1768 Business Center Dr
Suite 100
Reston, VA 20190-5324

Phone

(703) 225-7104

NPI assigned

Jul 3, 2014

Organization subpart

No

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

Authorized official

Name

Brantley T Jolly, MD

Title

Chief Medical Officer

Phone

(571) 224-1069

Specialties & licenses 6

Addresses

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

{
    "created_epoch": "1404345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539302400000",
    "number": "1174939771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1768 BUSINESS CENTER DR",
            "address_2": "SUITE 100",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1768 BUSINESS CENTER DR",
            "address_2": "SUITE 100",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905324",
            "telephone_number": "703-225-7104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELE-PHYSICIANS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-03",
        "last_updated": "2018-10-12",
        "status": "A",
        "authorized_official_last_name": "JOLLY",
        "authorized_official_first_name": "BRANTLEY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "571-224-1069",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teanna Taylor
• Tiffany Nicole Tea, PT, DPT
• Kathryn Hillary Tedeschi, ATR-BC, LPC
• Gerardo M Tejada
• Mark C Tekrony, PH.D., M.D.
• Nicole M Teske, PSYD
• Tessa Cholmondeley MD PC
• Tharapee Tha
• Thaddeus M Garland MD LLC
• John Thai, RPH

• Vascular Neurology Physician in Reston, VA
• Providers in Reston, VA by specialty
• Vascular Neurology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2018; 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.