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

Miranda Nicole Bacon, DO

Individual provider Pediatrics Physician · NPI 1366066169

Miranda Nicole Bacon, DO is a Pediatrics Physician in Falls Church, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2020
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

3300 Gallows Rd
Falls Church, VA 22042-3307
Phone: (703) 776-6652
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 0116033753 (VA)

Record details

NPI number1366066169
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 8, 2020
Last updated in NPPESJune 8, 2020
Certification dateJune 8, 2020
Mailing address3300 Gallows Rd, Falls Church, VA 22042-3307

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