IndividualActive
Bruce Short, D.C.
NPI 1497761381 · Sports Physician Chiropractor · Ashburn, VA
Provider details
- NPI number
- 1497761381
- Entity type
- Individual
- Primary specialty
- Sports Physician ChiropractorChiropractic Providers
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0104555886 (VA)
Specialties & taxonomies
Chiropractic Providers
Practice location
19945 Riverside Commons Plz Ste 100
Ashburn, VA 20147-5146
Phone: (703) 481-4400
Fax: (703) 935-0430
Approximate (ZIP-level) locationGet directions
Mailing address
18328 Buccaneer Ter
Leesburg, VA 20176-8474
Registry dates
- Enumerated
- 2006-07-31
- Last updated
- 2025-11-12
- Certified
- 2025-11-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.