Active NPI
Bre Enterprises, LLC
- Addiction Medicine (Preventive Medicine) Physician
- Leesburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Preventive Medicine) Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Heather Jefferson
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Preventive Medicine) Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Peer Specialist
- Ashburn, VA
- NPI 1679405567
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.