Your Medical Doctor of Virginia, P.C.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

YOUR MEDICAL DOCTOR OF VIRGINIA, P.C.

Practice address

1539 Brookhaven Dr
MC Lean, VA 22101-4128

Phone

(703) 447-6897

NPI assigned

Jan 8, 2025

Last updated

Jan 17, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brantley Tilman Jolly Jr., MD

Title

Chief Executive Officer

Phone

(202) 643-1171

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1736294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737072000000",
    "number": "1225848674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1539 BROOKHAVEN DR",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221014128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1539 BROOKHAVEN DR",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221014128",
            "telephone_number": "703-447-6897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR MEDICAL DOCTOR OF VIRGINIA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-08",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A",
        "authorized_official_last_name": "JOLLY",
        "authorized_official_first_name": "BRANTLEY",
        "authorized_official_middle_name": "TILMAN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "202-643-1171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claire You
• Briana Nicole Young, DPT
• Emily Louise Young, PA-C
• Marisa Christine Young
• Robin Young
• Fahd Yousaf, D.D.S
• Corinne Elizabeth Youse
• Melissa Youtzy, D.P.T.
• Raphael Yu
• Yuill Black MD and Michael R Kletz MD PC (Black and Kletz MD PC)

• General Practice Physician in McLean, VA
• Providers in McLean, VA by specialty
• General Practice Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.

Verify at the official NPI Registry.