Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Specialty Physicians of Northern Virginia, LLC

Organization Surgery Physician · NPI 1114157054

Specialty Physicians of Northern Virginia, LLC provides Surgery Physician services in Dulles, Virginia. Registered with an NPI since 2009.

In the registry since
2009
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

24430 Stone Springs Blvd
Dulles, VA 20166-2267
Phone: (703) 665-2430
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1114157054
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Suzanne Bergamo — Vp · (804) 267-5950
NPI enumeratedJuly 24, 2009
Last updated in NPPESNovember 20, 2025
Certification dateNovember 20, 2025
Mailing address2000 Health Park Dr, Brentwood, TN 37027-4692

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