Healthcare Provider Details

I. General information

NPI: 1205384534
Provider Name (Legal Business Name): VIRGINIA HOSPITAL CENTER PHYSICIAN GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2016
Last Update Date: 01/19/2026
Certification Date: 01/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1625 N GEORGE MASON DR SUITE 425
ARLINGTON VA
22205-3683
US

IV. Provider business mailing address

1715 N GEORGE MASON DR STE 402
ARLINGTON VA
22205-3659
US

V. Phone/Fax

Practice location:
  • Phone: 703-717-4502
  • Fax: 703-717-4529
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist 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