Individual provider Active NPI

Scott Fox Bartram, M.D.

  • Family Medicine Physician
  • Falls Church, VA
National Provider Identifier
1871652412
Registry record updated Dec 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101032319 Issued in VA
Practice address
407 N Washington St
#104
Falls Church, VA 22046-3430
Phone
(703) 237-7707
Fax
(703) 241-1261
NPI assigned
Dec 8, 2006
Last updated
Dec 9, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101032319 VA Primary

Addresses

Primary practice location

407 N Washington St
#104
Falls Church, VA 22046-3430

Mailing address

407 N Washington St
#104
Falls Church, VA 22046-3430
Phone (703) 237-7707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101032319VAMDFamily Medicine Physician

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355011200000",
    "number": "1871652412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 N WASHINGTON ST",
            "address_2": "#104",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220463430",
            "telephone_number": "703-237-7707",
            "fax_number": "703-241-1261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 N WASHINGTON ST",
            "address_2": "#104",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220463430",
            "telephone_number": "703-237-7707",
            "fax_number": "703-241-1261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTRAM",
        "first_name": "SCOTT",
        "middle_name": "FOX",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2012-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101032319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2012; 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.