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SPECIALTY PHYSICIANS OF NORTHERN VIRGINIA, LLC
NPI 1114157054
Surgery in Dulles, VA

Active since July 24, 2009
24430 STONE SPRINGS BLVD, DULLES, VA 20166(703) 665-2430 Get Directions Write a Review

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 20, 2025, Nov 13, 2025, Jan 2, 2023 (3 updates tracked since 2023).

About Specialty Physicians Of Northern Virginia, Llc NPPES

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

SPECIALTY PHYSICIANS OF NORTHERN VIRGINIA, LLC (NPI 1114157054) is a healthcare organization registered as a surgery in Dulles, Virginia and active in the NPI registry since July 2009. The organization lists Suzanne Bergamo, Vp, as its authorized official.

NPPES Registry Identity

NPI1114157054
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameSPECIALTY PHYSICIANS OF NORTHERN VIRGINIA, LLC
Location Address24430 STONE SPRINGS BLVDDulles, VA 20166-2267
Mailing Address2000 Health Park DrBrentwood, TN 37027-4692 · (615) 373-7406
Phone(703) 665-2430
Organization SubpartNo
Authorized OfficialSuzanne BergamoVp · (804) 267-5950
Enumeration DateJuly 24, 2009
Last NPPES UpdateNovember 20, 20253 updates tracked since enumeration
NPPES CertifiedNovember 20, 2025
✔ NPI 1114157054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
24430 STONE SPRINGS BLVD, Dulles, VA 20166
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Other Identifiers 1

Medicaid1114157054VA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

DANAH JAGUETA BALMACEDA NURSE PRACTITIONER
Nurse Practitioner (Critical Care Medicine)
24430 STONE SPRINGS BLVD
DULLES, VA 20166
Loudoun County (571) 439-4000
LOUDOUN MEDICAL GROUP, PC
Pediatrics
24430 STONE SPRINGS BLVD, SUITE 115
DULLES, VA 20166
Loudoun County (703) 957-1247
MARGARET JEANNE BRANDQUIST CNM
Advanced Practice Midwife
24430 STONE SPRINGS BLVD, SUITE 550
DULLES, VA 20166
Loudoun County (703) 957-1245
LOUDOUN MEDICAL GROUP, PC
Surgery
24430 STONE SPRINGS BLVD, SUITE 100
DULLES, VA 20166
Loudoun County (703) 858-3200
THE CARDIOVASCULAR GROUP, PC
Internal Medicine (Cardiovascular Disease)
24430 STONE SPRINGS BLVD, #425
DULLES, VA 20166
Loudoun County (703) 722-5860
LOUDOUN MEDICAL GROUP, PC
Specialist
24430 STONE SPRINGS BLVD, SUITE 100
DULLES, VA 20166
Loudoun County (703) 858-3208
LOUDOUN MEDICAL GROUP, PC
Specialist
24430 STONE SPRINGS BLVD, SUITE 100
DULLES, VA 20166
Loudoun County (703) 723-3398
LOUDOUN MEDICAL GROUP, PC
Internal Medicine (Hematology & Oncology)
24430 STONE SPRINGS BLVD, SUITE 515
DULLES, VA 20166
Loudoun County (703) 858-3110

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 Specialty Physicians Of Northern Virginia, LLC's NPI number?

The NPI number for Specialty Physicians Of Northern Virginia, LLC is 1114157054. It was assigned to this organization in the NPPES registry on July 24, 2009.

Where is Specialty Physicians Of Northern Virginia, LLC located?

Specialty Physicians Of Northern Virginia, LLC is located at 24430 Stone Springs Blvd, Dulles, VA 20166. The listed phone number is (703) 665-2430.

What is Specialty Physicians Of Northern Virginia, LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Specialty Physicians Of Northern Virginia, LLC was last updated on November 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.