Individual provider Active NPI

Charles Edward McBride, M.D.

  • Specialist
  • Burke, VA
National Provider Identifier
1831124197
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101047013 Issued in VA
Practice address
9257 Old Keene Mill Road
Burke, VA 22015-4202
Phone
(703) 455-5556
Fax
(703) 455-4587
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0101047013 VA Primary

Addresses

Primary practice location

9257 Old Keene Mill Road
Burke, VA 22015-4202

Mailing address

9257 Old Keene Mill Rd
Burke, VA 22015-4202
Phone (703) 455-5556

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040517001341 DC Practitioner - Gastroenterology 5395735617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Georgetown University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9257 Old Keene Mill Rd
Burke, VA 22015-4202

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
21.36 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
71.19

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy467
Upper gastrointestinal (GI) endoscopy for acid reflux379

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Gastroenterology & Hepatology, Inc. CurrentSince Jan 1, 2001 Accepting new patients
Franconia-Springfield Surgery Center, LLC Past Accepting new patients

Locations

9257 Old Keene Mill Rd
Burke, VA 22015
Phone (703) 455-5556

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1831124197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9257 OLD KEENE MILL RD",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220154202",
            "telephone_number": "703-455-5556",
            "fax_number": "703-455-4587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9257 OLD KEENE MILL ROAD",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220154202",
            "telephone_number": "703-455-5556",
            "fax_number": "703-455-4587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBRIDE",
        "first_name": "CHARLES",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101047013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burke, VA

Sources for this page

Verify at the official NPI Registry.