Provider Demographics
NPI:1598763146
Name:BUSSEY, CHRISTINE D (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:D
Last Name:BUSSEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8505 ARLINGTON BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-4621
Mailing Address - Country:US
Mailing Address - Phone:703-698-8525
Mailing Address - Fax:703-849-1918
Practice Address - Street 1:8505 ARLINGTON BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-4621
Practice Address - Country:US
Practice Address - Phone:703-698-8525
Practice Address - Fax:703-849-1918
Is Sole Proprietor?:No
Enumeration Date:2005-07-08
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101232957207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
007599N96OtherMEDICARE - RAILROAD
218691OtherANTHEM/TRIGON BCBS
2918425OtherAETNA HMO
541042964OtherMAILHANDERS
227166OtherKAISER
502854OtherNCPPO
541042964OtherPHCS
541042964OtherONE HEALTH PLAN/GREAT WST
7469256OtherAETNA PPO
VA005875404Medicaid
2269767OtherUNITED HEALTHCARE
5959794OtherCIGNA PPO
6975-0013OtherCAREFIRST BCBS
293422OtherALLIANCE/MAMSI
541042964OtherTRICARE/HEALTHNET/CHAMPUS
541042964OtherMAILHANDERS
H60891Medicare UPIN