Healthcare Provider Details

I. General information

NPI: 1285671529
Provider Name (Legal Business Name): JONATHAN M BIGWOOD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2006
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

541 SUNSET LN
CULPEPER VA
22701-3979
US

IV. Provider business mailing address

501 SUNSET LN
CULPEPER VA
22701-3917
US

V. Phone/Fax

Practice location:
  • Phone: 540-829-4114
  • Fax: 540-829-5776
Mailing address:
  • Phone: 540-829-4114
  • Fax: 540-829-5776

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number33801
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberD0102401
License Number StateMD
# 3
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0101-249736
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: