Individual provider Active NPI

Donald J Brideau Jr., M.D.

  • Family Medicine Physician
  • Alexandria, VA
National Provider Identifier
1891807269
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101047491 Issued in VA
Practice address
6355 Walker LN Ste 500
Alexandria, VA 22310-3251
Phone
(703) 971-8600
Fax
(703) 971-9043
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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 0101047491 VA Primary

Addresses

Primary practice location

6355 Walker LN Ste 500
Alexandria, VA 22310-3251

Mailing address

PO Box 37189
Baltimore, MD 21297-3189
Phone (571) 423-5699

Other practice location 1

9321 Sanger St
Lorton, VA 22079-2720
Phone (703) 982-8400

Other practice location 2

11901 Baron Cameron Ave
Reston, VA 20190-5892
Phone (703) 668-8333

Other practice location 3

9321 Sanger St Ste 203
Lorton, VA 22079-2720
Phone (703) 982-8390

Other practice location 4

8109 Tis Well Drive
Suite 511
Alexandria, VA 22306
Phone (703) 799-9500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dbrideau60645@soc.inova.org Health Information Exchange (HIE) Inova Physician Partners, Inc.

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
I20110107000080 DC Practitioner - Family PracticePractitioner - Internal Medicine 3678535937 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
George Washington University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inova Physician Partners LLCGroup PAC ID 2466581772, 258 clinicians

Practice addresses (Care Compare)

3914 Centreville Rd
Suite 250
Chantilly, VA 20151-3290
Phone (703) 435-1223

6035 Burke Centre Pkwy
Burke, VA 22015-3750
Phone (703) 828-2350

Hospital & facility affiliations

  • Inova Home Health LLC Home health agency, Fairfax, VA, CCN 497008
  • Inova Mount Vernon Hospital Hospital, Alexandria, VA, CCN 490122
  • Inova Alexandria Hospital Hospital, Alexandria, VA, CCN 490040
  • Inova Fairfax Hospital Hospital, Falls Church, VA, CCN 490063

Merit-based Incentive Payment System (MIPS)

Final score
93.98 of 100Reported as apm
Quality
87.97
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions50
Removal or shaving of skin growth11
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Dec 7, 2020 Accepting new patients
Inova Health Care Services CurrentSince Dec 7, 2020 Accepting new patients
Inova Physician Partners, LLC Family Medicine CurrentSince Nov 3, 2014 Accepting new patients
Inova Physician Partners, Inc. - Specialists PastSince Nov 8, 2020 Accepting new patients

Locations

6355 Walker Ln
Ste 310
Alexandria, VA 22310
Phone (703) 971-8600

6355 Walker Ln
Ste 500
Alexandria, VA 22310
Phone (703) 373-3718

8109 Tis Well Dr
Ste 511
Alexandria, VA 22306
Phone (703) 799-9500

6035 Burke Centre Pkwy
Ste 101
Burke, VA 22015
Phone (703) 828-2350

3914 Centreville Rd
Ste 250
Chantilly, VA 20151
Phone (703) 435-1223

3300 Gallows Rd
Fl 1
Falls Church, VA 22042
Phone (703) 776-4005

9321 Sanger St
Lorton, VA 22079
Phone (703) 982-8324

9321 Sanger St
Ste 203
Lorton, VA 22079
Phone (703) 982-8390

11901 Baron Cameron Ave
Reston, VA 20190
Phone (703) 464-6480

Organizations & group practices 4

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 5

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1891807269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37189",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212973189",
            "telephone_number": "571-423-5699",
            "fax_number": "571-423-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6355 WALKER LN STE 500",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223103251",
            "telephone_number": "703-971-8600",
            "fax_number": "703-971-9043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9321 Sanger St",
            "address_purpose": "LOCATION",
            "city": "Lorton",
            "state": "VA",
            "postal_code": "220792720",
            "country_code": "US",
            "telephone_number": "703-982-8400",
            "fax_number": "703-982-8351",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11901 Baron Cameron Ave",
            "address_purpose": "LOCATION",
            "city": "Reston",
            "state": "VA",
            "postal_code": "201905892",
            "country_code": "US",
            "telephone_number": "703-668-8333",
            "fax_number": "703-668-7169",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9321 Sanger St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Lorton",
            "state": "VA",
            "postal_code": "220792720",
            "country_code": "US",
            "telephone_number": "703-982-8390",
            "fax_number": "703-982-8391",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8109 Tis Well Drive",
            "address_2": "Suite 511",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "22306",
            "country_code": "US",
            "telephone_number": "703-799-9500",
            "fax_number": "703-799-9502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRIDEAU",
        "first_name": "DONALD",
        "middle_name": "J",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2021-02-02",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101047491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dbrideau60645@soc.inova.org",
            "affiliation": "Y",
            "endpointDescription": "Health Information Exchange",
            "affiliationName": "Inova Physician Partners, Inc.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "6355 Walker Ln Ste 500",
            "city": "Alexandria",
            "state": "VA",
            "country_code": "US",
            "postal_code": "223103251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.