Healthcare Provider Details

I. General information

NPI: 1508273426
Provider Name (Legal Business Name): VIRGINIA HOSPITAL CENTER PHYSICIAN GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2014
Last Update Date: 01/12/2026
Certification Date: 01/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1635 N GEORGE MASON DR STE 115
ARLINGTON VA
22205-3601
US

IV. Provider business mailing address

1635 N GEORGE MASON DR STE 115
ARLINGTON VA
22205-3680
US

V. Phone/Fax

Practice location:
  • Phone: 703-558-8501
  • Fax: 703-558-8517
Mailing address:
  • Phone: 703-558-8501
  • Fax: 703-558-8517

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LH0002X
TaxonomyHospice and Palliative Medicine (Anesthesiology) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: BRENDA BABBITT
Title or Position: SYS. AVP MANAGED CARE/CONTRACTING
Credential:
Phone: 703-558-5590