Individual provider · NPI-1

Donald J Brideau Jr., M.D.

Family Medicine · Alexandria, VA

NPI number1891807269

StatusActive

Last updated in NPPESFeb 2, 2021

Details

NPI: 1891807269
Entity type: Individual (NPI-1)
Name: Donald J Brideau Jr.
Credential: M.D.
Sex: Male
Sole proprietor: No
Enumeration date: Aug 31, 2006
Certification date: Jan 14, 2021
Last updated: Feb 2, 2021

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207Q00000X	Family Medicine	0101047491	VA	Yes

Practice location

6355 Walker Ln Ste 500
Alexandria, VA 22310-3251

Phone 703-971-8600 · Fax 703-971-9043

Mailing address

Po Box 37189
Baltimore, MD 21297-3189

Phone 571-423-5699 · Fax 571-423-5698

Other practice locations

9321 Sanger St
Lorton, VA 22079-2720

Phone 703-982-8400 · Fax 703-982-8351

9321 Sanger St Ste 203
Lorton, VA 22079-2720

Phone 703-982-8390 · Fax 703-982-8391

8109 Tis Well Drive
Suite 511
Alexandria, VA 22306

Phone 703-799-9500 · Fax 703-799-9502

11901 Baron Cameron Ave
Reston, VA 20190-5892

Phone 703-668-8333 · Fax 703-668-7169

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