Healthcare Provider Details

I. General information

NPI: 1477418028
Provider Name (Legal Business Name): BENPAY HEALTH GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5900 FORT DR STE 201
CENTREVILLE VA
20121-2425
US

IV. Provider business mailing address

5409 PLYMOUTH MEADOWS CT
FAIRFAX VA
22032-3220
US

V. Phone/Fax

Practice location:
  • Phone: 703-830-8113
  • Fax:
Mailing address:
  • Phone: 301-385-1219
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ROYA BADRPAY
Title or Position: OWNER/MANAGER
Credential:
Phone: 301-385-1219