Individual provider Active NPI

David Peter Goodfriend, MD

  • Public Health & General Preventive Medicine Physician
  • Leesburg, VA
National Provider Identifier
1205804804
Registry record updated Feb 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
0101222260 Issued in VA
Practice address
1 Harrison St SE
Leesburg, VA 20175-3102
Phone
(703) 771-5829
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician 2083P0901X 0101222260 VA Primary

Addresses

Primary practice location

1 Harrison St SE
Leesburg, VA 20175-3102

Mailing address

20049 Forest Farm LN
Ashburn, VA 20147-3129
Phone (703) 771-5829

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101027000671 VA Practitioner - Preventive Medicine 1254490071 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
County of Loudoun, Virginia Current Accepting new patients
County of Loudoun, Virginia CurrentSince Feb 9, 2025 Accepting new patients
Commonwealth of Virginia State Board of Health Past Accepting new patients

Locations

45201 Research Pl
Ste 120
Ashburn, VA 20147
Phone (703) 777-0236

906 Trailview Blvd SE
Ste C
Leesburg, VA 20175
Phone (571) 583-3323

102 Heritage Way NE
Ste 102
Leesburg, VA 20176
Phone (703) 771-5155

102 Heritage Way NE
Ste 100
Leesburg, VA 20176
Phone (703) 777-0236

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328745600000",
    "number": "1205804804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20049 FOREST FARM LN",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201473129",
            "telephone_number": "703-771-5829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HARRISON ST SE",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201753102",
            "telephone_number": "703-771-5829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODFRIEND",
        "first_name": "DAVID",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2012-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "VA",
            "license": "0101222260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

Verify at the official NPI Registry.