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PINE GROVE PEDIATRICS
NPI 1346303062
Pediatrics in Manassas, VA

Active since December 18, 2006CLIA 49D0952530 · Microscopy
8650 SUDLEY RD STE 309, MANASSAS, VA 20110(703) 393-9494(703) 393-8591 Get Directions Write a Review

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 2, 2026, Aug 22, 2020 (2 updates tracked since 2020).

About Pine Grove Pediatrics NPPES

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

PINE GROVE PEDIATRICS (NPI 1346303062) is a healthcare organization registered as a pediatrics in Manassas, Virginia and active in the NPI registry since December 2006. The organization holds a CLIA Microscopy certificate valid through October 14, 2026 and lists Robin Elizabeth Brodie, President, as its authorized official.

NPPES Registry Identity

NPI1346303062
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePINE GROVE PEDIATRICS
Location Address8650 SUDLEY RD STE 309Manassas, VA 20110-4416
Mailing Address8650 Sudley Rd Ste 309Manassas, VA 20110-4416 · (703) 393-9494 · Fax (703) 393-8591
Phone(703) 393-9494
Fax(703) 393-8591
Organization SubpartNo
Authorized OfficialRobin Elizabeth BrodiePresident · (703) 393-9494
Enumeration DateDecember 18, 2006
Last NPPES UpdateFebruary 2, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2026
✔ NPI 1346303062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

8650 SUDLEY RD STE 309, Manassas, VA 20110
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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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 49D0952530

Pine Grove Pediatrics PC · Manassas, VA
Active · expires Oct 14, 2026
CLIA Number49D0952530
Laboratory TypePhysician Office
Certificate Effective DateOctober 15, 2024
Certificate Expiration DateOctober 14, 2026
Laboratory DirectorRobin E. Brodie
Laboratory Phone(703) 393-9494
Laboratory LocationPine Grove Pediatrics PC8650 Sudley Road - Suite 309, Manassas, VA 20110
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

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

MANASSAS NEUROLOGY ASSOCIATES PLLC
Psychiatry & Neurology (Neurology)
8650 SUDLEY RD STE 309
MANASSAS, VA 20110
Manassas City (703) 366-2799

Frequently Asked Questions

What is PINE GROVE PEDIATRICS's NPI number?

The NPI number assigned to this healthcare provider is 1346303062, enumerated as an "organization" on December 18, 2006.

Where is the provider located?

The provider is located at 8650 SUDLEY RD STE 309 MANASSAS, VA 20110 and the phone number is (703) 393-9494.

What is the provider's specialty?

Pediatrics with taxonomy code 208000000X.