# PETER A BRYCE MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922176767
- **Authorized official:** MR. PETER ALEXANDER BRYCE MD (PRESIDENT TREASURER)
- **Authorized official phone:** (703) 680-5714

## Contact information

- **Practice address:** 2296 OPITZ BLVD, SUITE 250, WOODBRIDGE, VA 22191
- **Practice address phone:** (703) 680-5714
- **Practice address fax:** (703) 690-6832
- **Mailing address:** 2296 OPITZ BLVD, SUITE 250, WOODBRIDGE, VA 22191
- **Mailing address phone:** (703) 680-5714
- **Mailing address fax:** (703) 690-6832

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 28008 | VA | Yes |

## Other

- **Enumeration date:** 12/01/2006
- **Last updated:** 09/18/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0004081870 | AETNA | — |
| 01 | — | 006159 | ANTHEM | — |
| 05 | — | 006202985 | — | VA |
| 01 | — | 03050001 | CAREFIRST | — |
| 01 | — | 285238 | AMERIGROUP | — |
| 01 | — | 28817 | ALLIANCE | — |
| 01 | — | 493374 | NCPPO | — |