PENDERBROOK INTERNAL MEDICINE AND WELLNESS, PLLC
NPI 1972832608
Internal Medicine in Fairfax, VA

Q: What is Penderbrook Internal Medicine And Wellness, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since December 08, 2009

4001 FAIR RIDGE DR, SUITE 206, FAIRFAX, VA 22033(703) 716-5404(703) 716-5410 Get Directions Write a Review

NPPES record last updated: September 29, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Penderbrook Internal Medicine And Wellness, Pllc NPPES

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

PENDERBROOK INTERNAL MEDICINE AND WELLNESS, PLLC (NPI 1972832608) is a healthcare organization registered as an internal medicine in Fairfax, Virginia and active in the NPI registry since December 2009. The organization lists Thien Quang Dat Le, Owner, as its authorized official.

NPPES Registry Identity

NPI1972832608

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NamePENDERBROOK INTERNAL MEDICINE AND WELLNESS, PLLC

Location Address4001 FAIR RIDGE DR, SUITE 206Fairfax, VA 22033-2917

Mailing Address4001 Fair Ridge Dr, Suite 206Fairfax, VA 22033-2917 · (703) 716-5404 · Fax (703) 716-5410

Phone(703) 716-5404

Fax(703) 716-5410

Organization SubpartNo

Authorized OfficialThien Quang Dat LeOwner · (703) 716-5404

Enumeration DateDecember 8, 2009

Last NPPES UpdateSeptember 29, 2011

✔ NPI 1972832608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in VA · 0101840408

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

4001 FAIR RIDGE DR, Fairfax, VA 22033

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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

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.

RUSSELL P. SENECA M.D.

Surgery

4001 FAIR RIDGE DR, SUITE 304
FAIRFAX, VA 22033

Fairfax County (703) 359-8640

SUSAN LEE RUSSO C.N.M.

Advanced Practice Midwife

4001 FAIR RIDGE DR, SUITE 303
FAIRFAX, VA 22033

Fairfax County (703) 359-4842

DR. RAY A WERTHEIM M.D

Obstetrics & Gynecology

4001 FAIR RIDGE DR, SUITE 301
FAIRFAX, VA 22033

Fairfax County (703) 359-5900

DR. LAURA PICKFORD M.D.

Obstetrics & Gynecology

4001 FAIR RIDGE DR, SUITE 301
FAIRFAX, VA 22033

Fairfax County (703) 359-5900

CHARLES JUN HUH M.D.

Internal Medicine (Gastroenterology)

4001 FAIR RIDGE DR, #206
FAIRFAX, VA 22033

Fairfax County (703) 262-0200

GASTROENTEROLOGY CONSULTANTS OF NORTHERN VIRGINIA PLC

Internal Medicine (Gastroenterology)

4001 FAIR RIDGE DR, #206
FAIRFAX, VA 22033

Fairfax County (703) 262-0200

PATRICIA M KULAS M.D.

Radiology (Diagnostic Radiology)

4001 FAIR RIDGE DR, #103 FAIR OAKS IMAGING CENTER
FAIRFAX, VA 22033

Fairfax County (703) 385-5203

DR. BOPHARY KIM EA-LIM DDS

Dentist (General Practice)

4001 FAIR RIDGE DR, SUITE 105
FAIRFAX, VA 22033

Fairfax County (703) 352-0741

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 Penderbrook Internal Medicine And Wellness, PLLC's NPI number?

The NPI number for Penderbrook Internal Medicine And Wellness, PLLC is 1972832608. It was assigned to this organization in the NPPES registry on December 8, 2009.

Where is Penderbrook Internal Medicine And Wellness, PLLC located?

Penderbrook Internal Medicine And Wellness, PLLC is located at 4001 Fair Ridge Dr Suite 206, Fairfax, VA 22033. The listed phone number is (703) 716-5404.

What is Penderbrook Internal Medicine And Wellness, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Penderbrook Internal Medicine And Wellness, PLLC was last updated on September 29, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.