Active NPI
Bruce E Lessin M D P C
- Internal Medicine Physician
- McLean, VA
National Provider Identifier
1194091744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101023985
- Legal business name
- BRUCE E LESSIN M D P C
- Practice address
- 1313 Dolley Madison Blvd
Suite 207
MC Lean, VA 22101-3953 - Phone
- (703) 821-1677
- NPI assigned
- Mar 28, 2012
- Last updated
- Mar 28, 2012
- 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
- Dr. Bruce E Lessin, M.D.
- Title
- Physician
- Phone
- (703) 821-1677
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101023985 | VA | Primary |
Addresses
Primary practice location
1313 Dolley Madison Blvd
Suite 207
MC Lean, VA 22101-3953
Mailing address
1313 Dolley Madison Blvd
Suite 207
MC Lean, VA 22101-3953
Phone (703) 821-1677
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1332892800000",
"number": "1194091744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1313 DOLLEY MADISON BLVD",
"address_2": "SUITE 207",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221013953",
"telephone_number": "703-821-1677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1313 DOLLEY MADISON BLVD",
"address_2": "SUITE 207",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221013953",
"telephone_number": "703-821-1677"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRUCE E LESSIN M D P C",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-28",
"last_updated": "2012-03-28",
"status": "A",
"authorized_official_last_name": "LESSIN",
"authorized_official_first_name": "BRUCE",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "703-821-1677",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101023985",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McLean, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; 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.