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

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: July 19, 2026.

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

What is YOUR MEDICAL DOCTOR OF VIRGINIA, P.C.'s NPI number?

The NPI number assigned to this healthcare provider is 1225848674, enumerated as an "organization" on January 08, 2025.

Where is the provider located?

The provider is located at 1539 BROOKHAVEN DR MC LEAN, VA 22101 and the phone number is (703) 447-6897.

What is the provider's specialty?

General Practice with taxonomy code 208D00000X.