John T Bruchalski (NPI# 1336232362, PAC ID# 4486633435) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1336232362 |
| PAC ID by PECOS | 4486633435 |
| Professional Enrollment ID | I20050420000487 |
| Full Name | John T Bruchalski |
| Organization Legal Name | TEPEYAC FAMILY CENTER, LLC |
| Address |
4001 Fair Ridge Dr Suite 304 Fairfax VA 22033-2917 |
| Phone Number | 7032739440 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 5496793689 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4001 Fair Ridge Dr, Suite 304, Fairfax, VA 22033-2917 | 7032739440 | TEPEYAC FAMILY CENTER, LLC |
| Organization Legal Name | TEPEYAC FAMILY CENTER, LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lorna L Cvetkovich | Obstetrics/gynecology | Tepeyac Family Center, LLC | 4001 Fair Ridge Dr, Suite 304, Fairfax, VA 22033-2917 |
| Miriam C. Pereira | Obstetrics/gynecology | Tepeyac Family Center, LLC | 4001 Fair Ridge Dr, Suite 304, Fairfax, VA 22033-2917 |
| Daniel R Fisk | Obstetrics/gynecology | Tepeyac Family Center, LLC | 4001 Fair Ridge Dr, Suite 304, Fairfax, VA 22033-2917 |
| Marie A Anderson | Obstetrics/gynecology | Tepeyac Family Center, LLC | 4001 Fair Ridge Dr, Suite 304, Fairfax, VA 22033-2917 |
| Street Address |
4001 FAIR RIDGE DR SUITE 304 |
| City | FAIRFAX |
| State | VA |
| Zip | 22033-2917 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eugene W Overton | Family Medicine | 4001 Fair Ridge Dr, Suite 101, Fairfax, VA 22033-2917 | |
| Sadhna Nicky Singh | Obstetrics/gynecology | 4001 Fair Ridge Dr, Suite 303, Fairfax, VA 22033-2917 | |
| Lorna L Cvetkovich | Obstetrics/gynecology | Tepeyac Family Center, LLC | 4001 Fair Ridge Dr, Suite 304, Fairfax, VA 22033-2917 |
| Miriam C. Pereira | Obstetrics/gynecology | Tepeyac Family Center, LLC | 4001 Fair Ridge Dr, Suite 304, Fairfax, VA 22033-2917 |
| Daniel R Fisk | Obstetrics/gynecology | Tepeyac Family Center, LLC | 4001 Fair Ridge Dr, Suite 304, Fairfax, VA 22033-2917 |
| Thienquang D Le | Internal Medicine | 4001 Fair Ridge Dr, Suite 206, Fairfax, VA 22033-2917 | |
| Michael R Hryvniak | Psychiatry | 4001 Fair Ridge Dr, Suite 305, Fairfax, VA 22033-2917 | |
| Marie A Anderson | Obstetrics/gynecology | Tepeyac Family Center, LLC | 4001 Fair Ridge Dr, Suite 304, Fairfax, VA 22033-2917 |
| Jeffrey Conklin | Internal Medicine | Heritage Family Practice Associates, P.C. | 4001 Fair Ridge Dr, Suite 101, Fairfax, VA 22033-2917 |
| Jee Eun Lee Karl | Family Practice | Heritage Family Practice Associates, P.C. | 4001 Fair Ridge Dr, Suite 101, Fairfax, VA 22033-2917 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa D Kelly | Certified Registered Nurse Anesthetist (crna) | North American Partners In Anesthesia (virginia), LLC | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 |
| Alexander Nicholas D Sutingco | Emergency Medicine | Fair Oaks Emergency Physicians Pllc | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 |
| Rene L Ernest | Nurse Practitioner | North American Partners In Anesthesia (virginia), LLC | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 |
| Kimberly Barker | Nurse Practitioner | Inova Health Care Services | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 |
| Ahmed Qureshi | Certified Registered Nurse Anesthetist (crna) | North American Partners In Anesthesia (virginia), LLC | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 |
| Suman D Matiana | Family Medicine | Fair Oaks Hospitalist Physicians, Pllc | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 |
| Veronica E Johnson | Physician Assistant | Inova Health Care Services | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 |
| Jennifer Kannan | Physician Assistant | Fair Oaks Hospitalist Physicians, Pllc | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 |
| Sharon L Bachman | General Surgery | Inova Health Care Services | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 |
| Carmen F Smith | Certified Registered Nurse Anesthetist (crna) | North American Partners In Anesthesia (virginia), LLC | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 |
| Find all physicians in zip 22033 | |||
| City | FAIRFAX |
| Zip Code | 22033 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | FAIRFAX + OBSTETRICS/GYNECOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.