Organization Active NPI

Abc Pediatrics, LLC

  • Pediatrics Physician
  • Fredericksburg, VA
National Provider Identifier
1790722130
Registry record updated Dec 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101058728 Issued in VA
Legal business name
ABC PEDIATRICS, LLC
Practice address
2300 Charles St
Fredericksburg, VA 22401-3346
Phone
(540) 373-2228
Fax
(540) 373-7008
NPI assigned
Jun 2, 2006
Last updated
Dec 21, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2007

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

Authorized official

Name
Anne Bradshaw, M.D.
Title
Physician
Phone
(540) 373-2228

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 0101058728 VA Primary

Addresses

Primary practice location

2300 Charles St
Fredericksburg, VA 22401-3346

Mailing address

2300 Charles St
Fredericksburg, VA 22401-3346
Phone (540) 373-2228

National Provider Directory

National Provider Directory

Locations

2300 Charles St
Fredericksburg, VA 22401
Phone (540) 368-1400

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1790722130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 CHARLES ST",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013346",
            "telephone_number": "540-373-2228",
            "fax_number": "540-373-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 CHARLES ST",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013346",
            "telephone_number": "540-373-2228",
            "fax_number": "540-373-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABC PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "BRADSHAW",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "540-373-2228",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101058728",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.