YOUR MEDICAL DOCTOR OF VIRGINIA, P.C.
NPI 1225848674
General Practice in Mc Lean, VA

Q: What is Your Medical Doctor Of Virginia, P.C.'s specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since January 08, 2025

1539 BROOKHAVEN DR, MC LEAN, VA 22101(703) 447-6897 Get Directions Write a Review

NPPES record last updated: January 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Your Medical Doctor Of Virginia, P.c. NPPES

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

YOUR MEDICAL DOCTOR OF VIRGINIA, P.C. (NPI 1225848674) is a healthcare organization registered as a general practice in Mc Lean, Virginia and active in the NPI registry since January 2025. The organization lists Brantley Tilman Jolly, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1225848674

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameYOUR MEDICAL DOCTOR OF VIRGINIA, P.C.

Location Address1539 BROOKHAVEN DRMc Lean, VA 22101-4128

Mailing Address1539 Brookhaven DrMc Lean, VA 22101-4128

Phone(703) 447-6897

Organization SubpartNo

Authorized OfficialBrantley Tilman JollyChief Executive Officer · (202) 643-1171

Enumeration DateJanuary 8, 2025

Last NPPES UpdateJanuary 17, 2025

NPPES CertifiedJanuary 17, 2025

✔ NPI 1225848674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

1539 BROOKHAVEN DR, Mc Lean, VA 22101

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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

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 Your Medical Doctor Of Virginia, P.C.'s NPI number?

The NPI number for Your Medical Doctor Of Virginia, P.C. is 1225848674. It was assigned to this organization in the NPPES registry on January 8, 2025.

Where is Your Medical Doctor Of Virginia, P.C. located?

Your Medical Doctor Of Virginia, P.C. is located at 1539 Brookhaven Dr, Mc Lean, VA 22101. The listed phone number is (703) 447-6897.

What is Your Medical Doctor Of Virginia, P.C.'s specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Your Medical Doctor Of Virginia, P.C. was last updated on January 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.