NPIMap

Organization Active NPI

Health Builders

  • Specialist
  • Annandale, VA
National Provider Identifier
1891027892
Registry record updated Feb 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0104000459 Issued in VA
Legal business name
HEALTH BUILDERS
Practice address
7540 Little River Tpke
Suite H
Annandale, VA 22003-2839
Phone
(703) 256-2600
Fax
(703) 256-6566
NPI assigned
Feb 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2010

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

Authorized official

Name
Dr. Brett E Fuller, DCNPI 1538158621
Title
Doctor
Phone
(703) 256-2600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 0104000459 VA Primary

Addresses

Primary practice location

7540 Little River Tpke
Suite H
Annandale, VA 22003-2839

Mailing address

7540 Little River Tpke
Suite H
Annandale, VA 22003-2839
Phone (703) 256-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100324000157 DC Part B Supplier - Clinic/Group Practice 5496880825 Receives reassigned benefits from 1 practitioner
Practice locations: Annandale, VA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1265068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265068800000",
    "number": "1891027892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7540 LITTLE RIVER TPKE",
            "address_2": "SUITE H",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220032839",
            "telephone_number": "703-256-2600",
            "fax_number": "703-256-6566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7540 LITTLE RIVER TPKE",
            "address_2": "SUITE H",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220032839",
            "telephone_number": "703-256-2600",
            "fax_number": "703-256-6566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH BUILDERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-02",
        "last_updated": "2010-02-02",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "703-256-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0104000459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annandale, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; 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.