Active NPI
Julie E O'Brien, M.D.
- Pediatrics Physician
- Fredericksburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 36128
- Practice address
- 10600 Spotsylvania Ave
Fredericksburg, VA 22408-2637 - Phone
- (540) 604-9500
- Fax
- (540) 604-9501
- NPI assigned
- Feb 3, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 36128 | CO | Primary |
Addresses
Primary practice location
10600 Spotsylvania Ave
Fredericksburg, VA 22408-2637
Mailing address
10600 Spotsylvania Ave
Fredericksburg, VA 22408-2637
Phone (540) 604-9500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01361286 | Medicaid | CO |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Creighton University School of Medicine, 1990
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1340 Central Park Blvd
Suite 100
Fredericksburg, VA 22401-4940
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36128 | CO | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Washington Healthcare Physicians | Pediatrics | Current | Accepting new patients |
| Mary Washington Healthcare Physicians | Current | Accepting new patients |
Locations
10600 Spotsylvania Ave
Fredericksburg, VA 22408
Phone (540) 604-9500
1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100
331 Park Hill Dr
Fredericksburg, VA 22401
Phone (540) 368-8091
9755 Courthouse Rd
Ste 101
Spotsylvania, VA 22553
Phone (540) 898-9680
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Fredericksburg, VA
- NPI 1295999852
Pediatrics
-
- Durable Medical Equipment & Medical Supplies
- Fredericksburg, VA
- NPI 1740853035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361836800000",
"number": "1518939438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10600 SPOTSYLVANIA AVE",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224082637",
"telephone_number": "540-604-9500",
"fax_number": "540-604-9501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10600 SPOTSYLVANIA AVE",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224082637",
"telephone_number": "540-604-9500",
"fax_number": "540-604-9501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'BRIEN",
"first_name": "JULIE",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-03",
"last_updated": "2013-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CO",
"license": "36128",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01361286",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.