Veronika Safronovna Bumgardner, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110004522 Issued in VA

Practice address

7915 Lake Manassas Dr
Suite 205
Gainesville, VA 20155-3258

Phone

(571) 261-3529

Fax

(703) 753-5613

NPI assigned

Jun 29, 2014

Last updated

May 23, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VA, DC2 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

Specialty

Physician Assistant

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Uva Health Culpeper Medical Center Hospital, Culpeper, VA, CCN 490019

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: veronika.bumgardner.1@8042.direct.athenahealth.com

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.

• Privia Medical Group, LLC

  • Internal Medicine Physician
  • Arlington, VA
  • NPI 1013042480
  Medicare reassignment Care Compare group NPD
• Nova Advanced Pain Management PLLC

  dba The Spine Care Center

  • Interventional Pain Medicine Physician
  • Manassas, VA
  • NPI 1912023466

  DC

  Medicare reassignment
• Privia Medical Group, LLC

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Rockville, MD
  • NPI 1811715436
  NPD

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

• Uva Culpeper Medical Center

  dba UVA Health Culpeper Medical Center

  • General Acute Care Hospital
  • Culpeper, VA
  • NPI 1669538047
  Care Compare affiliation

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

{
    "created_epoch": "1404000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558569600000",
    "number": "1750796793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21975",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154116",
            "telephone_number": "540-321-4281",
            "fax_number": "540-321-4282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7915 LAKE MANASSAS DR",
            "address_2": "SUITE 205",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553258",
            "telephone_number": "571-261-3529",
            "fax_number": "703-753-5613"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2503 S Seminole Trl",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "VA",
            "postal_code": "227272690",
            "country_code": "US",
            "telephone_number": "540-948-6871",
            "fax_number": "540-948-6601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15237 Creativity Dr",
            "address_purpose": "LOCATION",
            "city": "Culpeper",
            "state": "VA",
            "postal_code": "227012504",
            "country_code": "US",
            "telephone_number": "540-321-4281",
            "fax_number": "540-321-4282",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "541 Sunset Ln Ste 301",
            "address_purpose": "LOCATION",
            "city": "Culpeper",
            "state": "VA",
            "postal_code": "227013979",
            "country_code": "US",
            "telephone_number": "540-825-4557",
            "fax_number": "540-825-4566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUMGARDNER",
        "first_name": "VERONIKA",
        "middle_name": "SAFRONOVNA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-29",
        "last_updated": "2019-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110004522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17507967793",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1750796793",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julia A Bruce, M.D.
• Sonya Lynn Bryce, NCC, LSATP, LPC
• Thu Anh Bui, PHARMD
• Toanthien S Bui, PHARMACIST
• Jay Meyer Bukzin, DDS
• Chase C Butala, CRC, LPC
• Katie L Buttafarro, OTR/L
• Elizabeth Button
• Madison Butz, PA-C
• C&C Care Solutions, LLC

• Physician Assistant in Gainesville, VA
• Providers in Gainesville, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; 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.

Verify at the official NPI Registry.