IndividualActive
Brendan Sullivan, MD
NPI 1780643908 · Pediatrics Physician · Lorton, VA
Provider details
- NPI number
- 1780643908
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0101227543 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
9010 Lorton Station Blvd
Suite 100
Lorton, VA 22079-4792
Phone: (703) 436-1200
Fax: (703) 642-0392
Approximate (ZIP-level) locationGet directions
Mailing address
1500 N Beauregard St
Alexandria, VA 22311-1723
Registry dates
- Enumerated
- 2006-03-18
- Last updated
- 2011-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.