DR. JOHN T. BRUCHALSKI M.D.09/09/1960
NPI 1336232362
Obstetrics & Gynecology in Fairfax, VA

Q: What is John Bruchalski's NPI number?

The NPI number for John Bruchalski is 1336232362. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Q: What is John Bruchalski's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for John Bruchalski was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

Active since October 02, 2006PECOS Enrolled

4001 FAIR RIDGE DR STE 304, FAIRFAX, VA 22033(703) 273-9440(703) 273-9445 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Jun 12, 2017 (2 updates tracked since 2017).

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About Dr. John T. Bruchalski M.d.09/09/1960 NPPES

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

DR. JOHN T. BRUCHALSKI M.D.09/09/1960 (NPI 1336232362) is an individual obstetrics & gynecology provider in Fairfax, Virginia, licensed in Virginia (0101044737) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336232362

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameDR. JOHN T. BRUCHALSKICredential: M.D.09/09/1960

Location Address4001 FAIR RIDGE DR STE 304Fairfax, VA 22033-2917

Mailing Address4001 Fair Ridge Dr Ste 304Fairfax, VA 22033-2917 · (703) 273-9440 · Fax (703) 273-9445

Phone(703) 273-9440

Fax(703) 273-9445

Sole ProprietorNo

Enumeration DateOctober 2, 2006

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1336232362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in VA · 0101044737

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

4001 FAIR RIDGE DR STE 304, Fairfax, VA 22033

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Other Identifiers 1

Medicaid010141214VA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John T. Bruchalski M.d.09/09/1960 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22033 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$147.85 typical visit price

range $65.18 – $194.86

Typical copayment $36.96 (range $16.29 – $48.71)

Most-billed visit code 99204

Established Patient

$80.66 typical visit price

range $21.40 – $158.88

Typical copayment $20.16 (range $5.35 – $39.72)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

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

DR. NOAH GOMEZ MD

Obstetrics & Gynecology