Organization Active NPI

Bre Enterprises, LLC

  • Addiction Medicine (Preventive Medicine) Physician
  • Leesburg, VA
National Provider Identifier
1407508161
Registry record updated Oct 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X
Legal business name
BRE ENTERPRISES, LLC
Practice address
211 Gibson Street, NW
Suite 123
Leesburg, VA 20176-2115
Phone
(571) 561-3040
NPI assigned
Jan 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2024

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

Authorized official

Name
Heather JeffersonNPI 1679405567
Title
Director of Finance
Phone
(703) 314-7846

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Preventive Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083A0300X Primary

Addresses

Primary practice location

211 Gibson Street, NW
Suite 123
Leesburg, VA 20176-2115

Mailing address

211 Gibson Street, NW
Suite 123
Leesburg, VA 20176-2115
Phone (703) 795-8793

Other practice location 1

2 Cardinal Park Dr SE Ste 103A
Leesburg, VA 20175-4448
Phone (703) 795-8793

Other names 1

  • The Williams Center for Wellness and Recovery Doing business as

National Provider Directory

National Provider Directory

Locations

211 Gibson St NW
Ste 123
Leesburg, VA 20176
Phone (571) 561-3040

2 Cardinal Park Dr SE
Ste 103A
Leesburg, VA 20175
Phone (703) 777-8840

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1642982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729296000000",
    "number": "1407508161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 GIBSON STREET, NW",
            "address_2": "SUITE 123",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201762115",
            "telephone_number": "703-795-8793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 GIBSON STREET, NW",
            "address_2": "SUITE 123",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201762115",
            "telephone_number": "571-561-3040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Cardinal Park Dr SE Ste 103A",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "VA",
            "postal_code": "201754448",
            "country_code": "US",
            "telephone_number": "703-795-8793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRE ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-24",
        "last_updated": "2024-10-19",
        "certification_date": "2024-10-19",
        "status": "A",
        "authorized_official_last_name": "JEFFERSON",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "703-314-7846"
    },
    "taxonomies": [
        {
            "code": "2083A0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Williams Center for Wellness and Recovery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Williams Center for Wellness and Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leesburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2024; 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.