UVA HEALTH BULL RUN FAMILY MEDICINE BRISTOW
NPI 1962172817
Family Medicine in Bristow, VA
About Uva Health Bull Run Family Medicine Bristow NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
UVA HEALTH BULL RUN FAMILY MEDICINE BRISTOW (NPI 1962172817) is a healthcare organization registered as a family medicine in Bristow, Virginia and active in the NPI registry since September 2021. The organization lists Charles D Coder, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Uva Health Bull Run Family Medicine Bristow is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
580Medicare enrollment records show 580 clinicians reassign Medicare billing to Uva Health Bull Run Family Medicine Bristow, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 175 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 37
Nearest to this location (20)
See all 580Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 1962172817. It was assigned to this organization in the NPPES registry on September 14, 2021. The provider is doing business as Uva Health Bull Run Family Medicine Bristow.
Where is Uva Community Health Medical Group, LLC located?
Uva Community Health Medical Group, LLC is located at 10322 Bristow Center Dr, Bristow, VA 20136. The listed phone number is (571) 284-4230.
What is Uva Community Health Medical Group, LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Uva Community Health Medical Group, LLC enrolled in Medicare?
Yes. Uva Community Health Medical Group, LLC is registered in the Medicare PECOS enrollment system.
When is Uva Community Health Medical Group, LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Virginia, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Uva Community Health Medical Group, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 580 clinicians in 37 Medicare specialties reassign their Medicare billing to Uva Community Health Medical Group, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (103), Obstetrics/Gynecology (54) and Anesthesiology (51). Of these, 8 practice at this address and 175 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 3 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.
# Uva Health Bull Run Family Medicine Bristow · NPI 1962172817
Family Medicine organization in Bristow, Virginia. Organization record, active in the CMS NPPES registry since September 14, 2021.
## Identity
- **NPI:** 1962172817 (Entity type: Organization)
- **Enumerated:** September 14, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Uva Community Health Medical Group, Llc
- **Organization subpart:** No
- **Authorized official:** Charles Coder, CFO
## Practice location
- **Address:** 10322 BRISTOW CENTER DR, Bristow, VA 20136-2201
- **Phone:** (571) 284-4230 · **Fax:** (703) 257-1495
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Virginia, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 580 clinicians in 37 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (103), Obstetrics/Gynecology (54), Anesthesiology (51); 8 practice at this address and 175 within 10 miles; [full list](https://npiprofile.com/npi/1962172817/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 26, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1962172817) · Data from the CMS NPPES public registry.