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BETHANY INGRAM M.D.
NPI 1932210259
Family Medicine in Vienna, VA

Active since August 31, 2006
100 MAPLE AVE E, VIENNA, VA 22180(703) 938-5300(703) 242-0726 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bethany Ingram M.d. NPPES

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

BETHANY INGRAM M.D. (NPI 1932210259) is an individual family medicine provider in Vienna, Virginia, licensed in Virginia (0101226838) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1932210259
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameBETHANY INGRAMCredential: M.D.
Location Address100 MAPLE AVE EVienna, VA 22180-5723
Mailing Address100 Maple Ave EVienna, VA 22180-5723 · (703) 938-5300 · Fax (703) 242-0726
Phone(703) 938-5300
Fax(703) 242-0726
Sole ProprietorNo
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1932210259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in VA · 0101226838
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.
100 MAPLE AVE E, Vienna, VA 22180
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Other Names 1

Former Name (1)Bethany Revak

Other Identifiers 2

Medicare ID-Type Unspecified011020I11
Medicare UPINH54592

Other Providers at the Same Location NPPES 10

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

BARBARA B ANDRINO M.D.
Family Medicine
100 MAPLE AVE E
VIENNA, VA 22180
Fairfax County (703) 938-5300
INOVA HEALTH CARE SERVICES
Clinic/Center (Urgent Care)
100 MAPLE AVE E
VIENNA, VA 22180
Fairfax County (703) 938-5300
CHARLES PARENTE M.D.
Family Medicine
100 MAPLE AVE E
VIENNA, VA 22180
Fairfax County (703) 938-5300
SANDRA C CORP D.O.
Family Medicine
100 MAPLE AVE E
VIENNA, VA 22180
Fairfax County (703) 938-5300
HINA J MIAN M.D.
Family Medicine
100 MAPLE AVE E
VIENNA, VA 22180
Fairfax County (703) 938-5300
UMC HOLDINGS, INC
Clinic/Center (Urgent Care)
100 MAPLE AVE E
VIENNA, VA 22180
Fairfax County (703) 938-5300
CONNIE R GROW D.O.
Family Medicine
100 MAPLE AVE E
VIENNA, VA 22180
Fairfax County (703) 938-5300
DR. ELIZABETH A. MARLIN M.D.
Family Medicine
100 MAPLE AVE E
VIENNA, VA 22180
Fairfax County (703) 938-5300

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 Bethany Ingram's NPI number?

The NPI number for Bethany Ingram is 1932210259. It was assigned to this individual provider in the NPPES registry on August 31, 2006. The provider is also known as Bethany Revak.

Where is Bethany Ingram located?

Bethany Ingram practices at 100 Maple Ave E, Vienna, VA 22180. The listed phone number is (703) 938-5300.

What is Bethany Ingram's specialty?

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

When was this NPI record last updated?

The NPPES record for Bethany Ingram was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.