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UVA HEALTH BULL RUN FAMILY MEDICINE MANASSAS
NPI 1366744039
Family Medicine in Manassas, VA

Active since December 01, 2010CLIA Certified · 2 labs
8640 SUDLEY RD, SUITE 203, MANASSAS, VA 20110(703) 368-3161(703) 368-2498 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 17, 2023, Oct 24, 2022, Sep 14, 2021 (3 updates tracked since 2021).

About Uva Health Bull Run Family Medicine Manassas NPPES

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

UVA HEALTH BULL RUN FAMILY MEDICINE MANASSAS (NPI 1366744039) is a healthcare organization registered as a family medicine in Manassas, Virginia and active in the NPI registry since December 2010. The organization holds 2 active CLIA laboratory certificates and lists Chuck D Coder, Cfo, as its authorized official.

NPPES Registry Identity

NPI1366744039
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameUVA COMMUNITY HEALTH MEDICAL GROUP, LLC
Location Address8640 SUDLEY RD, SUITE 203Manassas, VA 20110-4420
Mailing AddressPo Box 748613Atlanta, GA 30384-8613
Phone(703) 368-3161
Fax(703) 368-2498
Organization SubpartNo
Authorized OfficialChuck D CoderCfo · (804) 835-2069
Enumeration DateDecember 1, 2010
Last NPPES UpdateSeptember 26, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2023
✔ NPI 1366744039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
8640 SUDLEY RD, Manassas, VA 20110
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Other Names 1

Doing Business AsUva Health Bull Run Family Medicine Manassas

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

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 of Waiver 49D0223050

Uva Health Bull Run Family Medicine Manassas · Manassas, VA
Active · expires Jan 5, 2027
CLIA Number49D0223050
Laboratory TypePhysician Office
Certificate Effective DateJanuary 6, 2025
Certificate Expiration DateJanuary 5, 2027
Laboratory DirectorRobert A. Latimer Jr
Laboratory Phone(703) 367-5717
Laboratory LocationUva Health Bull Run Family Medicine Manassas8640 Sudley Road Suite 203, Manassas, VA 20110
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 49D2067133

Uva Health Bull Run Family Medicine Haymarket · Haymarket, VA
Active · expires Oct 8, 2027
CLIA Number49D2067133
Laboratory TypePhysician Office
Certificate Effective DateOctober 9, 2025
Certificate Expiration DateOctober 8, 2027
Laboratory DirectorRobert A. Latimer Jr
Laboratory Phone(703) 368-3161
Laboratory LocationUva Health Bull Run Family Medicine Haymarket15195 Heathcote Boulevard - Sutie 140, Haymarket, VA 20169
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

ROBERT A W LATIMER M.D.
Family Medicine
8640 SUDLEY RD, SUITE 203
MANASSAS, VA 20110
Manassas City (703) 368-3161
CRYSTAL ANN MCGOVERN N.P.
Nurse Practitioner (Family)
8640 SUDLEY RD, SUITE 201
MANASSAS, VA 20110
Manassas City (703) 368-6819
PEDIATRICARE OF NORTHERN VIRGINIA, P.C.
Pediatrics
8640 SUDLEY RD, SUITE 306
MANASSAS, VA 20110
Manassas City (703) 330-3939
JANET L BRESLIN CFNP
Nurse Practitioner
8640 SUDLEY RD, SUITE 203
MANASSAS, VA 20110
Manassas City (703) 368-3161
MELISSA MEHIEL
Nurse Practitioner
8640 SUDLEY RD, SUITE 201
MANASSAS, VA 20110
Manassas City (703) 368-6819
UVA COMMUNITY HEALTH MEDICAL GROUP, LLC
Internal Medicine (Cardiovascular Disease)
8640 SUDLEY RD, SUITE 302
MANASSAS, VA 20110
Manassas City (703) 369-5959
SARAH A BRADY NP-C
Nurse Practitioner
8640 SUDLEY RD, SUITE 201
MANASSAS, VA 20110
Manassas City (703) 368-6819
JOSEPH F CHAMBERS M.D.
Family Medicine
8640 SUDLEY RD, SUITE 203
MANASSAS, VA 20110
Manassas City (703) 368-3161

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 Uva Community Health Medical Group, LLC's NPI number?

The NPI number for Uva Community Health Medical Group, LLC is 1366744039. It was assigned to this organization in the NPPES registry on December 1, 2010. The provider is doing business as Uva Health Bull Run Family Medicine Manassas.

Where is Uva Community Health Medical Group, LLC located?

Uva Community Health Medical Group, LLC is located at 8640 Sudley Rd Suite 203, Manassas, VA 20110. The listed phone number is (703) 368-3161.

What is Uva Community Health Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Uva Community Health Medical Group, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Uva Community Health Medical Group, LLC was last updated on September 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.