Individual provider Active NPI

Benjamin Daniel Fox, M.D.

  • Family Medicine Physician
  • Brambleton, VA
National Provider Identifier
1316200652
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0116024467 Issued in VA
Practice address
22895 Brambleton PLZ Ste 200
Brambleton, VA 20148-4878
Phone
(703) 722-2312
Fax
(703) 722-2317
NPI assigned
Jun 21, 2012
Sex
Male
Sole proprietor
No

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fairfax Family Practice Centers PC 106 clinicians

Practice addresses (Care Compare)

22895 Brambleton PLZ
Suite 200
Brambleton, VA 20148-4878
Phone (703) 481-1505

Hospital & facility affiliations

  • Inova Loudoun Hospital Hospital, Leesburg, VA, CCN 490043

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131009000734 DC Practitioner - Family Practice 0648404574 Reassigns benefits to 1 organization
I20150803000764 VA Practitioner - Family Practice 0648404574 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0116024467VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC Family Medicine CurrentSince Sep 15, 2015 Accepting new patients
Privia Medical Group, LLC CurrentSince Sep 15, 2015 Accepting new patients
Inova Physician Partners, LLC Family Medicine CurrentSince Jun 25, 2020 Accepting new patients
Inova Physician Partners, Inc. - Specialists Past Accepting new patients

Locations

20905 Professional Plz
Ste 330
Ashburn, VA 20147
Phone (703) 726-0003

22895 Brambleton Plz
Ste 200
Brambleton, VA 20148
Phone (703) 220-0779

3914 Centreville Rd
Ste 250
Chantilly, VA 20151
Phone (703) 435-1223

3650 Joseph Siewick Dr
Ste 400
Fairfax, VA 22033
Phone (703) 391-2020

8644 Sudley Rd
#220
Manassas, VA 20110

740 E Main St
Purcellville, VA 20132
Phone (540) 338-4995

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0116024467 VA Primary

Addresses

NPPES NPI Registry

Primary practice location

22895 Brambleton PLZ Ste 200
Brambleton, VA 20148-4878

Mailing address

22895 Brambleton PLZ Ste 200
Brambleton, VA 20148-4878
Phone (703) 722-2312

Other practice location 1

3650 Joseph Siewick Dr
Suite 400
Fairfax, VA 22033-1710
Phone (703) 391-2020

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address bfox12605@soc.inova.org Health Information Exchange (HIE)

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 27, 2023.

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1316200652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22895 BRAMBLETON PLZ STE 200",
            "city": "BRAMBLETON",
            "state": "VA",
            "postal_code": "201484878",
            "telephone_number": "703-722-2312",
            "fax_number": "703-722-2317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22895 BRAMBLETON PLZ STE 200",
            "city": "BRAMBLETON",
            "state": "VA",
            "postal_code": "201484878",
            "telephone_number": "703-722-2312",
            "fax_number": "703-722-2317"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3650 Joseph Siewick Dr",
            "address_2": "Suite 400",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220331710",
            "country_code": "US",
            "telephone_number": "703-391-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOX",
        "first_name": "BENJAMIN",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-21",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0116024467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bfox12605@soc.inova.org",
            "affiliation": "Y",
            "endpointDescription": "Health Information Exchange",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "22895 Brambleton Plz Ste 200",
            "city": "Brambleton",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201484878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brambleton, VA

Sources for this page

Verify at the official NPI Registry.