Individual provider Active NPI

Philip William Barrere Jr., MD

  • General Practice Physician
  • Nokesville, VA
National Provider Identifier
1417901414
Registry record updated Nov 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
0101239371 Issued in VA
Practice address
13057 Fitzwater Dr
Nokesville, VA 20181-2227
Phone
(540) 660-1620
Fax
(202) 827-7867
NPI assigned
May 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X MD039138 DC
General Practice Physician 208D00000X 0101239371 VA Primary

Addresses

Primary practice location

13057 Fitzwater Dr
Nokesville, VA 20181-2227

Mailing address

13057 Fitzwater Dr
Nokesville, VA 20181-2227
Phone (540) 660-1620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20140602001326 VA Practitioner - General Practice 4082769682

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chantilly Family Medicine LLC Past Accepting new patients
Ignaz P Jarbadan MD PC Past Accepting new patients
Clifton Burke LLC PastSince Aug 6, 2009 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383868800000",
    "number": "1417901414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13057 FITZWATER DR",
            "city": "NOKESVILLE",
            "state": "VA",
            "postal_code": "201812227",
            "telephone_number": "540-660-1620",
            "fax_number": "202-827-7867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13057 FITZWATER DR",
            "city": "NOKESVILLE",
            "state": "VA",
            "postal_code": "201812227",
            "telephone_number": "540-660-1620",
            "fax_number": "202-827-7867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRERE",
        "first_name": "PHILIP",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2013-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "DC",
            "license": "MD039138",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0101239371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nokesville, VA

Sources for this page

Verify at the official NPI Registry.