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

Philip Budihardjo, DO

Individual provider Diagnostic Radiology Physician · NPI 1811198344

Philip Budihardjo, DO is a Diagnostic Radiology in Fredericksburg, Virginia. Qualified in 2004, 22 years ago. Practices with Mary Washington Healthcare Providers LLC, a 261-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Iowa and Virginia.

Years since qualifying
22
Licensed in
IA, VA
In the registry since
2007
Specialties on file
2
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

1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453
Phone: (540) 741-5610
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 5501 Plank Rd Ste 100, Fredericksburg, VA 22407-6638 — (540) 741-5611
  • 10401 Spotsylvania Ave Ste 103, Fredericksburg, VA 22408-8609 — (540) 741-5611
  • 101 Hospital Center Blvd, Stafford, VA 22554-6200 — (540) 741-5611
  • 1969 W Hart Rd, Beloit, WI 53511 — (608) 362-7888

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 0102209896 (VA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 3977 (IA)

Record details

NPI number1811198344
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 31, 2007
Last updated in NPPESMay 13, 2026
Certification dateMay 13, 2026
Mailing address1340 Central Park Blvd Ste 100, Fredericksburg, VA 22401-4940

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Mary Washington Healthcare Providers Llc — 261 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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