Active NPI
Bradley Richard Ware, M.D.
- Family Medicine Physician
- Alexandria, VA
National Provider Identifier
1417910746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101050807
- Practice address
- 5249 Duke St
Suite 102
Alexandria, VA 22304-2926 - Phone
- (703) 823-3660
- Fax
- (703) 823-2210
- NPI assigned
- Apr 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101050807 | VA | Primary |
Addresses
Primary practice location
5249 Duke St
Suite 102
Alexandria, VA 22304-2926
Mailing address
5249 Duke St
Suite 102
Alexandria, VA 22304-2926
Phone (703) 823-3660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Cincinnati College of Medicine, 1973
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
5249 Duke St
Suite 102
Alexandria, VA 22304-2907
Phone (703) 823-3660
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- bradleyware_3145@sfm.omnimddirect.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360195200000",
"number": "1417910746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5249 DUKE ST",
"address_2": "SUITE 102",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223042926",
"telephone_number": "703-823-3660",
"fax_number": "703-823-2210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5249 DUKE ST",
"address_2": "SUITE 102",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223042926",
"telephone_number": "703-823-3660",
"fax_number": "703-823-2210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARE",
"first_name": "BRADLEY",
"middle_name": "RICHARD",
"name_prefix": "Prof.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-08",
"last_updated": "2013-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101050807",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.