1. Home
  2. Directory
  3. Virginia
  4. Burke
  5. Family Medicine
  6. NPI Profile

BBENNETTMD 1 ON 1 VIRTUAL HEALTHCARE
NPI 1407470107
Family Medicine in Burke, VA

Active since May 29, 2020CLIA 49D2206757 · Waiver
9159 BLOOM CT, BURKE, VA 22015(571) 749-8420(855) 955-0445 Get Directions Write a Review

NPPES record last updated: November 7, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 7, 2021, May 29, 2020 (2 updates tracked since 2020).

About Bbennettmd 1 On 1 Virtual Healthcare NPPES

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

BBENNETTMD 1 ON 1 VIRTUAL HEALTHCARE (NPI 1407470107) is a healthcare organization registered as a family medicine in Burke, Virginia and active in the NPI registry since May 2020. The organization holds a CLIA Waiver certificate valid through December 21, 2026 and lists Elizabeth Ann Bennett, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1407470107
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBBENNETTMD 1 ON 1 VIRTUAL HEALTHCARE
Location Address9159 BLOOM CTBurke, VA 22015-1643
Mailing Address9159 Bloom CtBurke, VA 22015-1643 · (571) 749-8420 · Fax (855) 955-0445
Phone(571) 749-8420
Fax(855) 955-0445
Organization SubpartNo
Authorized OfficialElizabeth Ann BennettMedical Director · (571) 749-8420
Enumeration DateMay 29, 2020
Last NPPES UpdateNovember 7, 20212 updates tracked since enumeration
NPPES CertifiedNovember 7, 2021
✔ NPI 1407470107 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.
9159 BLOOM CT, Burke, VA 22015
Open in Google Maps ↗

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

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 49D2206757

Bbennettmd 1 On 1 Virtual Healthcare · Burke, VA
Active · expires Dec 21, 2026
CLIA Number49D2206757
Laboratory TypePhysician Office
Certificate Effective DateDecember 22, 2024
Certificate Expiration DateDecember 21, 2026
Laboratory DirectorElizabeth A. Bennett
Laboratory Phone(571) 749-8420
Laboratory LocationBbennettmd 1 On 1 Virtual Healthcare9159 Bloom Ct, Burke, VA 22015
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only 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.

ELIZABETH ANN BENNETT MD
Family Medicine
9159 BLOOM CT
BURKE, VA 22015
Fairfax County (571) 749-8420

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 Bbennettmd 1 On 1 Virtual Healthcare's NPI number?

The NPI number for Bbennettmd 1 On 1 Virtual Healthcare is 1407470107. It was assigned to this organization in the NPPES registry on May 29, 2020.

Where is Bbennettmd 1 On 1 Virtual Healthcare located?

Bbennettmd 1 On 1 Virtual Healthcare is located at 9159 Bloom Ct, Burke, VA 22015. The listed phone number is (571) 749-8420.

What is Bbennettmd 1 On 1 Virtual Healthcare's specialty?

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

Does Bbennettmd 1 On 1 Virtual Healthcare hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2206757) is associated with this NPI, valid through December 21, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bbennettmd 1 On 1 Virtual Healthcare was last updated on November 7, 2021. 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.