Healthcare Provider Details

I. General information

NPI: 1346191053
Provider Name (Legal Business Name): PBH HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2026
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 PENNSYLVANIA AVE SE UNIT 204
WASHINGTON DC
20003-2578
US

IV. Provider business mailing address

1111 PENNSYLVANIA AVE SE UNIT 204
WASHINGTON DC
20003-2578
US

V. Phone/Fax

Practice location:
  • Phone: 703-727-6208
  • Fax:
Mailing address:
  • Phone: 703-727-6208
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. PAMELA HERBERT
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 703-727-6208