Active NPI
Bryan C Aldeghi, CSFA
- Surgical Assistant
- Leesburg, VA
National Provider Identifier
1982276697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 204207
- Practice address
- 44045 Riverside Pkwy
Leesburg, VA 20176-5101 - Phone
- (301) 661-7117
- NPI assigned
- Jul 13, 2021
- Last updated
- Apr 13, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 204207 | NU | Primary |
| Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician | 207VF0040X | 0136000716 | VA |
Addresses
Primary practice location
44045 Riverside Pkwy
Leesburg, VA 20176-5101
Mailing address
11113 Putman Rd
Thurmont, MD 21788-2748
Phone (301) 661-7117
Other practice location 1
9901 Medical Center Dr
Rockville, MD 20850-3357
Phone (301) 661-7117
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0136000716 | VA | MD | Female Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681344000000",
"number": "1982276697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11113 PUTMAN RD",
"city": "THURMONT",
"state": "MD",
"postal_code": "217882748",
"telephone_number": "301-661-7117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44045 RIVERSIDE PKWY",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201765101",
"telephone_number": "301-661-7117"
}
],
"practiceLocations": [
{
"address_1": "9901 Medical Center Dr",
"address_purpose": "LOCATION",
"city": "Rockville",
"state": "MD",
"postal_code": "208503357",
"country_code": "US",
"telephone_number": "301-661-7117",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALDEGHI",
"first_name": "BRYAN",
"middle_name": "C",
"credential": "CSFA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-07-13",
"last_updated": "2023-04-13",
"certification_date": "2023-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "NU",
"license": "204207",
"primary": true
},
{
"code": "207VF0040X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
"state": "VA",
"license": "0136000716",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leesburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.