Healthcare Provider Details

I. General information

NPI: 1043617889
Provider Name (Legal Business Name): VIRGINIA HOSPITAL CENTER PHYSICIAN GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2014
Last Update Date: 01/19/2026
Certification Date: 01/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1851 N GEORGE MASON DR STE 3C
ARLINGTON VA
22207-1953
US

IV. Provider business mailing address

1851 N GEORGE MASON DR STE 3C
ARLINGTON VA
22207-1953
US

V. Phone/Fax

Practice location:
  • Phone: 703-717-7780
  • Fax: 703-717-7781
Mailing address:
  • Phone: 703-717-7780
  • Fax: 703-717-7781

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RB0002X
TaxonomyObesity Medicine (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207UN0901X
TaxonomyNuclear Cardiology 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