Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Specialty Physicians of Northern Virginia, LLC

Organization Surgery Physician · NPI 1114157054

Specialty Physicians of Northern Virginia, LLC is a Surgery Physician 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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