Logan Dubose, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

0101287482 Issued in VA

Practice address

1129 Heatherstone Dr
Fredericksburg, VA 22407-4828

Phone

(202) 741-3000

NPI assigned

Apr 12, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1649721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1487396222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 BLAIR ALY SW APT 758",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200243468",
            "telephone_number": "979-481-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 HEATHERSTONE DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224074828",
            "telephone_number": "202-741-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBOSE",
        "first_name": "LOGAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-12",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0101287482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Nichole Dryer
• Maria Gao Du
• Camilo Joseph Duarte, D.D.S.
• Tiffany Dubeck
• Jamie Marie Weihe Dubose, MD, MPH
• Anita Duckworth
• Patricia Elizabeth Dudley
• Penny Marie Dudley, D.C.
• Brion Dugas, CRNA
• Erin Duggins, NURSE PRACTITIONER

• General Practice Physician in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• General Practice Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.