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BURKE FAMILY PRACTICE P.C.
NPI 1487765830
Family Medicine in Burke, VA

Active since August 31, 2006CLIA 49D0221659 · Microscopy
9409 OLD BURKE LAKE RD # B, BURKE, VA 22015(703) 978-4200(703) 503-8263 Get Directions Write a Review

NPPES record last updated: June 3, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Burke Family Practice P.c. NPPES

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

BURKE FAMILY PRACTICE P.C. (NPI 1487765830) is a healthcare organization registered as a family medicine in Burke, Virginia and active in the NPI registry since August 2006. The organization holds a CLIA Microscopy certificate valid through May 10, 2027 and lists Jan Twomey, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1487765830
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBURKE FAMILY PRACTICE P.C.
Location Address9409 OLD BURKE LAKE RD # BBurke, VA 22015-3127
Mailing Address9409 Old Burke Lake Rd # BBurke, VA 22015-3127 · (703) 978-4200 · Fax (703) 503-8263
Phone(703) 978-4200
Fax(703) 503-8263
Organization SubpartNo
Authorized OfficialJan TwomeyPractice Manager · (703) 978-4200
Enumeration DateAugust 31, 2006
Last NPPES UpdateJune 3, 2010
✔ NPI 1487765830 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.
9409 OLD BURKE LAKE RD # B, Burke, VA 22015
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Other Identifiers 1

Medicare ID-Type Unspecified405805VA

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) 49D0221659

Burke Family Practice · Burke, VA
Active · expires May 10, 2027
CLIA Number49D0221659
Laboratory TypePhysician Office
Certificate Effective DateMay 11, 2025
Certificate Expiration DateMay 10, 2027
Laboratory DirectorAlton J. Tucker MD
Laboratory Phone(703) 978-4200
Laboratory LocationBurke Family Practice9409B Old Burke Lake Rd, Burke, VA 22015
CLIA data matches this NPI record on: 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.

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 Burke Family Practice P.C.'s NPI number?

The NPI number for Burke Family Practice P.C. is 1487765830. It was assigned to this organization in the NPPES registry on August 31, 2006.

Where is Burke Family Practice P.C. located?

Burke Family Practice P.C. is located at 9409 Old Burke Lake Rd # B, Burke, VA 22015. The listed phone number is (703) 978-4200.

What is Burke Family Practice P.C.'s specialty?

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

Does Burke Family Practice P.C. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 49D0221659) is associated with this NPI, valid through May 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Burke Family Practice P.C. was last updated on June 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.