Bbennettmd 1 on 1 Virtual Healthcare

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BBENNETTMD 1 ON 1 VIRTUAL HEALTHCARE

Practice address

9159 Bloom CT
Burke, VA 22015-1643

Phone

(571) 749-8420

Fax

(855) 955-0445

NPI assigned

May 29, 2020

Last updated

Nov 7, 2021By 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

Elizabeth Ann Bennett, MDNPI 1710959234

Title

Medical Director

Phone

(571) 749-8420

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elizabeth Ann Bennett, MD

  • Family Medicine Physician
  • Burke, VA
  • NPI 1710959234

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1590710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636243200000",
    "number": "1407470107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9159 BLOOM CT",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151643",
            "telephone_number": "571-749-8420",
            "fax_number": "855-955-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9159 BLOOM CT",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151643",
            "telephone_number": "571-749-8420",
            "fax_number": "855-955-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BBENNETTMD 1 ON 1 VIRTUAL HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-29",
        "last_updated": "2021-11-07",
        "certification_date": "2021-11-07",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "571-749-8420",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamatha Elizabeth Barber, L.C.S.W.
• Nassir Ahmad Barekzi, D.D.S.
• Christine Hoffner Barthold, PH.D., BCBA-D, LBA
• Gelareh Bassiry, QMHP
• Hope Lorraine Bauer, LCSW
• Patricia C Beck, LCSW
• Bella Home Care Service, LLC
• Benedictus Care
• Elizabeth Ann Bennett, MD
• Sarah Snyder Bennett, FNP-BC

• Family Medicine Physician in Burke, VA
• Providers in Burke, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.