CENTREVILLE INTERNAL MEDICINE
NPI 1073712352
Clinic/Center - Adult Day Care in Centreville, VA

Active since July 16, 2007
13880 BRADDOCK RD STE 107, CENTREVILLE, VA 20121(703) 965-0180(703) 266-9003 Get Directions Write a Review

NPPES record last updated: August 9, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Centreville Internal Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTREVILLE INTERNAL MEDICINE (NPI 1073712352) is a healthcare organization registered as an adult day care in Centreville, Virginia and active in the NPI registry since July 2007. The organization lists Sugkee Youn, Director, as its authorized official.

NPPES Registry Identity

NPI1073712352
Entity TypeOrganization
Primary Taxonomy261QA0600X
Legal Business NameCENTREVILLE INTERNAL MEDICINE
Location Address13880 BRADDOCK RD STE 107Centreville, VA 20121-2460
Mailing Address13880 Braddock Rd Ste 107Centreville, VA 20121-2460 · (703) 965-0180 · Fax (703) 266-9003
Fax(703) 266-9003
Organization SubpartNo
Authorized OfficialSugkee YounDirector · (703) 965-0180
Enumeration DateJuly 16, 2007
Last NPPES UpdateAugust 9, 2012
NPI 1073712352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Adult Day CareAmbulatory Health Care Facilities
Taxonomy Code261QA0600X
License Licensed in VA · 0101235830
13880 BRADDOCK RD STE 107, Centreville, VA 20121

Other Identifiers 1

Medicaid010419719VA

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Nephrology)
13880 BRADDOCK RD STE 107
CENTREVILLE, VA 20121
Nurse Practitioner (Gerontology)
13880 BRADDOCK RD STE 107
CENTREVILLE, VA 20121

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Centreville Internal Medicine's NPI number?

The NPI number for Centreville Internal Medicine is 1073712352. It was assigned to this organization in the NPPES registry on July 16, 2007.

Where is Centreville Internal Medicine located?

Centreville Internal Medicine is located at 13880 Braddock Rd Ste 107, Centreville, VA 20121. The listed phone number is (703) 965-0180.

What is Centreville Internal Medicine's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Day Care, with taxonomy code 261QA0600X.

When was this NPI record last updated?

The NPPES record for Centreville Internal Medicine was last updated on August 9, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.