Individual provider Active NPI

Leslie M Brandwin, M.D.

  • Internal Medicine Physician
  • Springfield, VA
National Provider Identifier
1356371496
Registry record updated Dec 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101022445 Issued in VA
Practice address
7440 Spring Village Dr
Springfield, VA 22150-4446
Phone
(703) 923-4644
Fax
(703) 923-4625
NPI assigned
Jul 4, 2006
Last updated
Dec 3, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101-022445 VA
Internal Medicine Physician 207R00000X 0101022445 VA Primary
Rheumatology Physician 207RR0500X 0101022445 VA

Addresses

Primary practice location

7440 Spring Village Dr
Springfield, VA 22150-4446

Mailing address

5249 Duke Street
Suite 100
Alexandria, VA 22304
Phone (703) 658-2650

Other identifiers 4

IdentifierTypeStateIssuer
0411220OtherEVERCARE
1356371496OtherBCBS-VA
0001OtherBCBS-DC
607055-01OtherMDBCBS OF MD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20101202001140 DC Practitioner - Internal MedicinePractitioner - Rheumatology 9436346442 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Rheumatology
Education
Saint Louis University School of Medicine, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alexandria Health Care Center, PLLCGroup PAC ID 3072662527, 7 clinicians

Practice addresses (Care Compare)

5249 Duke St
Suite 100
Alexandria, VA 22304-2907
Phone (703) 658-2650

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101-022445VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLean Medical Center and Urgent Care LLC Internal Medicine CurrentSince Nov 1, 2015 Accepting new patients
Alexandria Health Care Center, PLLC Internal Medicine CurrentSince Nov 1, 2015 Accepting new patients
Medical Associates of Northern VA Inc CurrentSince Nov 1, 2015 Accepting new patients

Locations

5249 Duke St
Ste 100
Alexandria, VA 22304
Phone (703) 370-2814

6303 Little River Tpke
Ste 160
Alexandria, VA 22312
Phone (703) 476-0901

611 S Carlin Springs Rd
Ste 504
Arlington, VA 22204
Phone (703) 998-6666

1313 Dolley Madison Blvd
Ste 400
Mc Lean, VA 22101
Phone (703) 847-9800

1313 Dolley Madison Blvd
McLean, VA 22101

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449100800000",
    "number": "1356371496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5249 DUKE STREET",
            "address_2": "SUITE 100",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "22304",
            "telephone_number": "703-658-2650",
            "fax_number": "703-658-2656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7440 SPRING VILLAGE DR",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221504446",
            "telephone_number": "703-923-4644",
            "fax_number": "703-923-4625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDWIN",
        "first_name": "LESLIE",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2015-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101-022445",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101022445",
            "primary": true
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "VA",
            "license": "0101022445",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "0411220",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-VA",
            "identifier": "1356371496",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-DC",
            "identifier": "0001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MD",
            "identifier": "607055-01",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

Verify at the official NPI Registry.