Organization Active NPI

Bull Run Family Practice, P.C.

  • Family Medicine Physician
  • Manassas, VA
National Provider Identifier
1396745972
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BULL RUN FAMILY PRACTICE, P.C.
Practice address
8640 Sudley Rd
Suite 203
Manassas, VA 20110-4420
Phone
(703) 367-5732
Fax
(703) 368-2498
NPI assigned
Jul 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
David Anspaugh
Title
Practice Administrator
Phone
(703) 367-5732

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X VA Primary

Addresses

Primary practice location

8640 Sudley Rd
Suite 203
Manassas, VA 20110-4420

Mailing address

8640 Sudley Rd
Suite 203
Manassas, VA 20110-4420
Phone (703) 367-5732

National Provider Directory

National Provider Directory

Locations

8640 Sudley Rd
Ste 203
Manassas, VA 20110
Phone (703) 368-3161

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1396745972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8640 SUDLEY RD",
            "address_2": "SUITE 203",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104420",
            "telephone_number": "703-367-5732",
            "fax_number": "703-368-2498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8640 SUDLEY RD",
            "address_2": "SUITE 203",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104420",
            "telephone_number": "703-367-5732",
            "fax_number": "703-368-2498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BULL RUN FAMILY PRACTICE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ANSPAUGH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "703-367-5732"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.