Breast Reconstruction Specialists LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

0101056821 Issued in VA

Legal business name

BREAST RECONSTRUCTION SPECIALISTS LLC

Practice address

224-Cornwall Street, NW
Suite 300
Leesburg, VA 20176-2704

Phone

(703) 777-7477

Fax

(571) 291-2452

NPI assigned

Sep 16, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Behzad Parva, MD, FACS

Title

Owner/Surgeon

Phone

(703) 777-7477

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442361600000",
    "number": "1184093577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224-D CORNWALL STREET, NW",
            "address_2": "SUITE 300",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201762704",
            "telephone_number": "703-777-7477",
            "fax_number": "571-291-2452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224-CORNWALL STREET, NW",
            "address_2": "SUITE 300",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201762704",
            "telephone_number": "703-777-7477",
            "fax_number": "571-291-2452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAST RECONSTRUCTION SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-16",
        "last_updated": "2015-09-16",
        "status": "A",
        "authorized_official_last_name": "PARVA",
        "authorized_official_first_name": "BEHZAD",
        "authorized_official_title_or_position": "OWNER/SURGEON",
        "authorized_official_telephone_number": "703-777-7477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, FACS"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101056821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Leesburg, VA
• Providers in Leesburg, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; 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.