Healthcare Provider Details

I. General information

NPI: 1932039914
Provider Name (Legal Business Name): EMPOWER MED, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2094 TWIN SIX LN
DUMFRIES VA
22026-3008
US

IV. Provider business mailing address

2094 TWIN SIX LN
DUMFRIES VA
22026-3008
US

V. Phone/Fax

Practice location:
  • Phone: 937-369-7982
  • Fax: 571-626-8394
Mailing address:
  • Phone: 937-369-7982
  • Fax: 571-626-8394

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SCOTT EVERSON
Title or Position: OWNER
Credential: DO, MPH
Phone: 937-369-7982