| Clinibooth, Inc. | |
|
42148 Stone Press Ter Brambleton VA 20148-6525 | |
| (937) 581-8921 | |
| (844) 592-1154 |
| Full Name | Clinibooth, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 42148 Stone Press Ter, Brambleton, Virginia |
| Authorized Official Name and Position | Deepak Saluja (CEO) |
| Authorized Official Contact | 9375818921 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinibooth, Inc. 42148 Stone Press Ter Brambleton VA 20148-6525 Ph: (937) 581-8921 | Clinibooth, Inc. 42148 Stone Press Ter Brambleton VA 20148-6525 Ph: (937) 581-8921 |
| NPI Number | 1952128308 |
|---|---|
| Provider Enumeration Date | 09/25/2024 |
| Last Update Date | 06/16/2026 |
| Certification Date | 06/16/2026 |
| Medicare PECOS PAC ID | 1759818651 |
|---|---|
| Medicare Enrollment ID | O20250722001656 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952128308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
| Provider Name | Victoria Mari Cornelius |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568925998 PECOS PAC ID: 7911237672 Enrollment ID: I20190923001563 |
| Provider Name | Jessica Mcglone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891161808 PECOS PAC ID: 8325345556 Enrollment ID: I20251001000016 |
Broadlands Family Practice at Brambleton Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22895 Brambleton Place, Suite 200, Brambleton, VA 20148 Phone: 703-726-0003 Fax: 703-726-6444 |
Smart Doctors Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 42603 Good Hope Ln, Brambleton, VA 20148 Phone: 646-221-0941 |