Healthcare Provider Details

I. General information

NPI: 1407555253
Provider Name (Legal Business Name): TOWN CENTER ORTHOPAEDIC ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2023
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6201 CENTREVILLE RD STE 600
CENTREVILLE VA
20121-2634
US

IV. Provider business mailing address

6201 CENTREVILLE RD STE 600
CENTREVILLE VA
20121-2634
US

V. Phone/Fax

Practice location:
  • Phone: 571-346-2411
  • Fax:
Mailing address:
  • Phone: 571-346-2411
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: JEFFREY BERG
Title or Position: PARTNER
Credential: MD
Phone: 703-435-6604