NPIMap

Organization Active NPI

Orthopedic Medicine of Alexandria, LTD.

  • Orthopaedic Surgery Physician
  • Alexandria, VA
National Provider Identifier
1992922371
Registry record updated Dec 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
0101027295 Issued in VA
Legal business name
ORTHOPEDIC MEDICINE OF ALEXANDRIA, LTD.
Practice address
5845 Richmond Hwy
Suite 400
Alexandria, VA 22303-1865
Phone
(703) 317-2800
Fax
(703) 317-8458
NPI assigned
Apr 19, 2007
Last updated
Dec 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2008

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

Authorized official

Name
Dr. John Andrew Bruno Jr., M.D.NPI 1568537389
Title
President
Phone
(703) 317-2800

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 0101027295 VA Primary
Orthopedic Physical Therapist 2251X0800X 2305203431 VA
Orthopedic Physical Therapist 2251X0800X 2305203235 VA

Addresses

Primary practice location

5845 Richmond Hwy
Suite 400
Alexandria, VA 22303-1865

Mailing address

PO Box 7087
Alexandria, VA 22307-0087
Phone (703) 317-2800

Other names 1

  • IME Virginia, Ltd. Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040712000769 DC Part B Supplier - Clinic/Group Practice 6002894466 Receives reassigned benefits from 1 practitioner
Practice locations: Alexandria, VA

National Provider Directory

National Provider Directory

Locations

5845 Richmond Hwy
Ste 400
Alexandria, VA 22303
Phone (703) 317-2800

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11552/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228262400000",
    "number": "1992922371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7087",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223070087",
            "telephone_number": "703-317-2800",
            "fax_number": "703-317-8458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5845 RICHMOND HWY",
            "address_2": "SUITE 400",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223031865",
            "telephone_number": "703-317-2800",
            "fax_number": "703-317-8458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC MEDICINE OF ALEXANDRIA, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2008-12-03",
        "status": "A",
        "authorized_official_last_name": "BRUNO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-317-2800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0101027295",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "VA",
            "license": "2305203431",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "VA",
            "license": "2305203235",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IME Virginia, Ltd.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; 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.