DR. BRAD B SWELSTAD (NPI# 1033382049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033382049 |
Entity Type | Individual |
Full Name | DR. BRAD B SWELSTAD |
Credential | MD |
Practice Address |
13580 Groupe Dr Ste 105 Woodbridge VA 22192-4163 |
Mailing Address |
9600 Blackwell Rd Ste 500 Rockville MD 20850-3783 |
Practice Telephone | 7036801770 |
Practice Fax Number | 8554021839 |
Enumeration Date | 2008-04-10 |
Last Update Date | 2018-11-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207V00000X | Obstetrics & Gynecology | MD60680871 | WA | Allopathic & Osteopathic Physicians |
N | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
0101265847 | VA | Allopathic & Osteopathic Physicians |
N | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
N0491 | TX | Allopathic & Osteopathic Physicians |
Y | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
A116519 | CA | Allopathic & Osteopathic Physicians |
N | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
D0066846 | MD | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MD | 018471300 | 05 |
Street Address |
13580 GROUPE DR STE 105 |
City | WOODBRIDGE |
State | VA |
Zip Code | 22192-4163 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245873645 | Ursula Jackson | Technician | 3500 Commission Ct, Woodbridge, VA 22192 | 2019-10-18 |
1205480779 | Ki Soo Park | Physical Therapy Assistant | 12825 Minnieville Road Suite 201, Lake Ridge, VA 22192 | 2019-08-01 |
1801448329 | Karen Lee Trivett | Specialist/Technologist, Other | 12584 Darby Brook Court, Woodbridge, VA 22192 | 2019-07-15 |
1407313166 | Nichele Amelia Thompson | Behavioral Analyst | 2731 Marblestone Dr, 101, Woodbridge, VA 22192 | 2019-02-28 |
1952877870 | Kimberly Ann Rojas Vazquez | Behavioral Analyst | 12531 Clipper Dr, Suite 203, Woodbridge, VA 22192 | 2018-10-18 |
1104391614 | Ykim Dental | Dentist | 2680 Optiz Blvd., Suite 120, Woodbridge, VA 22192 | 2018-10-11 |
1013418755 | Arm Transport | Non-emergency Medical Transport (VAN) | 13000 Harbor Center Dr Ste 132d, Woodbridge, VA 22192 | 2018-02-27 |
1811496813 | Francesca Nasi | Behavioral Analyst | 12531 Clipper Dr Ste 203, Woodbridge, VA 22192 | 2018-02-05 |
1942729504 | Bismark Transportation Service LLC | Non-emergency Medical Transport (VAN) | 12341 Woodlawn Court, Woodbridge, VA 22192 | 2017-09-14 |
1992226344 | Arm Baby Eldery Home Health LLC | Home Health | 13000 Harbor Center Dr # 312c, Woodbridge, VA 22192 | 2017-07-06 |
Find all providers in zip 22192 |
Taxonomy Code | 207VE0102X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Reproductive Endocrinology |
An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568993855 | Ccrm Virginia | Obstetrics & Gynecology | 8010 Towers Crescent Dr, Vienna, VA 22182-2710 | 2017-03-27 |
1174987010 | Xiaohong Liu | Obstetrics & Gynecology | 601 Colley Ave Ste 413, Norfolk, VA 23507-1627 | 2016-04-06 |
1235497074 | Nicole Doyle | Obstetrics & Gynecology | 8501 Arlington Blvd Ste 500, Fairfax, VA 22031-4631 | 2012-04-30 |
1144454166 | Kay Waud | Obstetrics & Gynecology | 4040 Fairfax Dr, Arlington, VA 22203-1613 | 2009-05-05 |
1710127907 | Shruti Malik | Obstetrics & Gynecology | 12011 Lee Jackson Memorial Hwy Ste 302, Fairfax, VA 22033-3310 | 2009-02-27 |
1437376373 | Jessica H Zaret | Obstetrics & Gynecology | 300 Medical Pkwy Ste 200, Chesapeake, VA 23320 | 2007-04-20 |
1942329792 | Mid-atlantic Womens Care Plc | Obstetrics & Gynecology | 448 Viking Dr Ste 100, Virginia Beach, VA 23452-7331 | 2007-03-29 |
1669596599 | Susan Sarajari | Obstetrics & Gynecology | 46 S. Glebe Road, Suite 301, Arlington, VA 22204 | 2007-03-17 |
1457403107 | Washington Fertility Center PC | Obstetrics & Gynecology | 4316 Evergreen Lane, #l, Annandale, VA 22003 | 2007-01-16 |
1306906821 | Francisco M Irianni Md | Obstetrics & Gynecology | 1820 W Plaza Dr, Winchester, VA 22601-6365 | 2006-12-12 |
Find all providers with the same taxonomy |
City | WOODBRIDGE |
Zip Code | 22192 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.