Active NPI
Belinda Darlene Ferguson
- Phlebology Physician
- Manassas, VA
National Provider Identifier
1619547908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebology Physician
- License
- 25731335
- Practice address
- 9519 Damascus Dr
Manassas, VA 20109-3329 - Phone
- (571) 432-8686
- NPI assigned
- Jun 29, 2021
- Last updated
- Jun 29, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Phlebology Physician | 202K00000X | 25731335 | VA | Primary |
Addresses
Primary practice location
9519 Damascus Dr
Manassas, VA 20109-3329
Mailing address
9519 Damascus Dr
Manassas, VA 20109-3329
Phone (571) 432-8686
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25731335 | VA | MD | Phlebology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624924800000",
"number": "1619547908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9519 DAMASCUS DR",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201093329",
"telephone_number": "571-432-8686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9519 DAMASCUS DR",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201093329",
"telephone_number": "571-432-8686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERGUSON",
"first_name": "BELINDA",
"middle_name": "DARLENE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-29",
"last_updated": "2021-06-29",
"certification_date": "2021-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "202K00000X",
"taxonomy_group": "",
"desc": "Phlebology",
"state": "VA",
"license": "25731335",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manassas, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.