=====================================================
General NPI Number Information
=====================================================
NPI Number | 1003228917
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | VIRGINIA HOSPITAL CENTER PHYSICIAN GROUP LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/27/2014
-----------------------------------------------------
Last Update Date | 01/19/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1600 N BEAUREGARD ST SUITE 300
-----------------------------------------------------
City | ALEXANDRIA
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22311-1704
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 703-940-3810
-----------------------------------------------------
Fax | 703-940-3811
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1600 N BEAUREGARD ST STE 300
-----------------------------------------------------
City | ALEXANDRIA
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22311-1732
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 703-940-3810
-----------------------------------------------------
Fax | 703-940-3811
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SYS. AVP MANAGED CARE/CONTRACTING
-----------------------------------------------------
Name | BRENDA BABBITT
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 703-558-5590
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 213E00000X
-----------------------------------------------------
Taxonomy Name | Podiatrist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------