Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1780643908 Individual Practitioner Male Practitioner

Dr. Brendan L Sullivan , MD

Pediatrics • Lorton, VA

Professional Overview & Biography Verified Profile Summary

Dr. Brendan Sullivan, MD is a registered healthcare professional specializing in Pediatrics in Lorton, VA. Practice services are available at 9010 LORTON STATION BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9010 Lorton Station Blvd
Suite 100

Lorton, VA 220794792

Telephone 7034361200
Fax 7036420392
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Lorton, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.6 Yrs
Regional Practice Density
5 Specialists

Practicing in Lorton, VA (2079 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License VA 0101227543

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
6721001 (VA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
NPI 1205031325

Doctor of Osteopathic Medicine (D.O.)

NPI 1235458498

Doctor of Medicine (M.D.)

Zoila Castro , FNP-C

Nurse Practitioner - Pediatrics

NPI 1336822782

Family Nurse Practitioner (Certified)

NPI 1750905501

Doctor of Medicine (M.D.)

NPI 1851829816

Doctor of Medicine (M.D.)

Barbara Wiater , CRNP

Nurse Practitioner

NPI 1881755163

Certified Registered Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 28, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location January 28, 2011

Registered at 9010 LORTON STATION BLVD, SUITE 100, LORTON, VA 220794792 (Tel: 7034361200)

📍
Updated Business Mailing Address January 28, 2011

Registered at 1500 N BEAUREGARD ST, SUITE 200, ALEXANDRIA, VA 223111723 (Tel: 7034361200)

👤
Provider Name / Credentials Updated January 28, 2011

Recorded as BRENDAN SULLIVAN, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 28, 2011

Pediatrics (License #0101227543 in VA)

🟢
Initial NPI Registration & Enumeration March 18, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Brendan Sullivan. Be the first to share your experience!

Sign in to leave a review for Dr. Brendan Sullivan

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1780643908
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 18, 2006
Last Update: January 28, 2011
Sole Proprietor: Yes

Mailing Address

1500 N Beauregard St, Suite 200

Alexandria, VA 223111723

Phone: 7034361200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.