Bivins Family LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

BIVINS FAMILY LLC

Practice address

140 Q St NE Ste 100
Washington, DC 20002-2101

Phone

(202) 636-9411

Fax

(202) 636-9415

NPI assigned

Aug 24, 2023

Organization subpart

No

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

Authorized official

Name

Anthony Dereck Bivins, MDNPI 1881655108

Title

Sole MBR

Phone

(202) 288-9573

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anthony Derrick Bivins, MD

  • Nephrology Physician
  • Washington, DC
  • NPI 1881655108
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692835200000",
    "number": "1780468223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N GATE RD NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200121220",
            "telephone_number": "202-288-9573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 Q ST NE STE 100",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200022101",
            "telephone_number": "202-636-9411",
            "fax_number": "202-636-9415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIVINS FAMILY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-24",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A",
        "authorized_official_last_name": "BIVINS",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "DERECK",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "202-288-9573",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Bither, NP
• Charlie F Bitsimo-Smith
• Aidan Bittinger-Esser, DPT
• Carole Gerodine Bittner
• Tiru Bitul
• Anthony Derrick Bivins, MD
• Mispa Bivuoh
• Cecilia Biyaga
• Gabriella Bizal
• Mamie Bizuneh

• Nephrology Physician in Washington, DC
• Providers in Washington, DC by specialty
• Nephrology Physician in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.