Individual provider Active NPI

Emily Stone Bravo, PA-C

  • Medical Physician Assistant
  • Fairfax, VA
National Provider Identifier
1659880532
Registry record updated Mar 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0110007773 Issued in VA
Practice address
3028 Javier Rd Ste 300
Fairfax, VA 22031-4622
Phone
(703) 698-8960
Fax
(772) 337-2666
NPI assigned
Sep 24, 2017
Last updated
Mar 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0110007773 VA Primary

Addresses

Primary practice location

3028 Javier Rd Ste 300
Fairfax, VA 22031-4622

Mailing address

3028 Javier Rd Ste 500
Fairfax, VA 22031-4622
Phone (703) 217-0899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210701002330 DC Practitioner - Physician Assistant 9234498791 Reassigns benefits to 1 organization
I20210707000970 VA Practitioner - Physician Assistant 9234498791 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Lincoln Memorial University Medical Department, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gastroenterology Associates of Northern Virginia, LLCGroup PAC ID 1759371008, 98 clinicians

Practice addresses (Care Compare)

3022 Williams Dr
Suite 301
Fairfax, VA 22031-4600
Phone (703) 698-8960

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Galloway Anesthesia Associates LLC Past Accepting new patients
Old Dominion Anesthesia LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: emily.stone@gastrohealth.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1506211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741392000000",
    "number": "1659880532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3028 JAVIER RD STE 500",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314622",
            "telephone_number": "703-217-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3028 JAVIER RD STE 300",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314622",
            "telephone_number": "703-698-8960",
            "fax_number": "772-337-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAVO",
        "first_name": "EMILY",
        "middle_name": "STONE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-24",
        "last_updated": "2025-03-08",
        "certification_date": "2025-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110007773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.