Healthcare Provider Details

I. General information

NPI: 1932561313
Provider Name (Legal Business Name): HARRISON GEORGE BARTELS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2016
Last Update Date: 09/25/2025
Certification Date: 09/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1708 FALL HILL AVE STE 100
FREDERICKSBURG VA
22401-3511
US

IV. Provider business mailing address

1708 FALL HILL AVE STE 100
FREDERICKSBURG VA
22401-3511
US

V. Phone/Fax

Practice location:
  • Phone: 540-371-1226
  • Fax: 540-371-2049
Mailing address:
  • Phone: 540-371-1226
  • Fax: 540-371-2049

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number0101284371
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code207YX0905X
TaxonomyOtolaryngology/Facial Plastic Surgery Physician
License Number0101284371
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: