BRYAN V. ANDERSON (NPI# 1023410248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023410248 |
| Entity Type | Individual |
| Full Name | BRYAN V. ANDERSON |
| Credential | PA-C |
| Practice Address |
1215 Lee St Charlottesville VA 22908-0001 |
| Mailing Address |
Po Box 9007 Charlottesville VA 22906-9007 |
| Practice Telephone | 4342431000 |
| Practice Fax Number | 4342437551 |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2020-10-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
0110005129 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902389588 | Bryan Anderson | Physician Assistant | 8435 Vanguard Road, Fort Stewart, GA 31324 | 2018-09-10 |
| 1578828224 | Bryan Robert Anderson | Internal Medicine | 18503 Gaylord Rd., Redford, MI 48240 | 2012-07-09 |
| 1841371457 | Bryan A. Anderson | Dentist | 104 2nd Ave Se, Waseca, MN 56093-3041 | 2006-10-18 |
| 1598749236 | Bryan K Anderson | Ophthalmology | 1565 Ebenezer Road, Rock Hill, SC 29732 | 2005-12-06 |
| 1386634392 | Bryan D Anderson | Dentist | 2807 S Stone St, Suite 102, Spokane, WA 99223-4904 | 2005-10-21 |
| 1184197147 | Bryan Anderson | Specialist/Technologist, Other | 700 Us Highway 46 Ste 420, Fairfield, NJ 07004-1532 | 2019-01-02 |
| 1831661388 | Bryan Thomas Anderson | Nurse Practitioner | 1601 W 11th Pl, Big Spring, TX 79720-4114 | 2018-12-21 |
| 1902336498 | Bryan Geoffrey Anderson | Social Worker | 1247 7th St Ste 202, Santa Monica, CA 90401-1643 | 2017-06-15 |
| 1023417581 | Bryan D Anderson | Physician Assistant | 100 Michigan St Ne, Suite 8830, Grand Rapids, MI 49503-2560 | 2014-08-20 |
| 1063844991 | Bryan Anderson | Pharmacist | 9400 E 350, Raytown, MO 64133-6509 | 2013-08-02 |
| Street Address |
1215 LEE ST |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22908-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760486328 | Kirk W Tanner | Nurse Anesthetist, Certified Registered | 1215 Lee St, Charlottesville, VA 22908-0816 | 2005-06-10 |
| 1801493283 | Angela Jewell Strickler | Nurse Practitioner | 1215 Lee St, Charlottesville, VA 22908-0816 | 2020-10-08 |
| 1629675475 | Kimberlee M Mauck | Physician Assistant | 1215 Lee St, Charlottesville, VA 22908-0816 | 2020-10-05 |
| 1407463953 | Amy Johnston | Clinical Nurse Specialist | 1215 Lee St, Charlottesville, VA 22908-0816 | 2020-09-29 |
| 1194332882 | Mihwa Ahn | Nurse Practitioner | 1215 Lee St, Charlottesville, VA 22908-0816 | 2020-09-26 |
| 1346856721 | Farren Hume Dodson | Nurse Practitioner | 1215 Lee St, Charlottesville, VA 22908-0816 | 2020-09-21 |
| 1003422619 | Darlene Acero | Dietitian, Registered | 1215 Lee St, Charlottesville, VA 22908-0816 | 2020-09-18 |
| 1689289571 | Erin Harr | Nurse Practitioner | 1215 Lee St, Charlottesville, VA 22908-0816 | 2020-09-09 |
| 1518572460 | Juan Pablo Sardi Restrepo | Student in an Organized Health Care Education/Training Program | 1215 Lee St, Mail Stop 800212, Charlottesville, VA 22908-0816 | 2020-09-08 |
| 1366055956 | Erin Louise Tennyson | Nurse Practitioner | 1215 Lee St, Charlottesville, VA 22908-0816 | 2020-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568020410 | Alexis Evans | Physician Assistant | 1215 Lee St Nnicu, Charlottesville, VA 22908 | 2019-06-04 |
| 1649702317 | Ryan Aschenbrener | Student in an Organized Health Care Education/Training Program | 545 Ray C Hunt Drive Suite 2400, Charlottesville, VA 22908 | 2017-03-31 |
| 1215399241 | Katherine Gresham Belote | Student in an Organized Health Care Education/Training Program | 1221 Lee Street Uva Health System, Charlottesville, VA 22908 | 2016-03-29 |
| 1851776215 | Catherine Meller | Student in an Organized Health Care Education/Training Program | 1215 Lee St., Box 800713, Charlottesville, VA 22908 | 2015-07-28 |
| 1295112597 | Breanna Campbell | Internal Medicine | 1220 Lee St Ste 2401, Charlottesville, VA 22908 | 2015-05-06 |
| 1013255637 | Melinda Bowles-childress | Nurse Practitioner | 1 Hospital Dr Fl 1, Charlottesville, VA 22908 | 2013-01-17 |
| 1053521757 | Univeristy of Virginia Health System | General Acute Care Hospital | University of Virginia Health System, 1215 Lee Street, Chalrlottesville, VA 22908 | 2007-05-23 |
| 1730241282 | Imre Noth | Internal Medicine | 1221 Lee St Fl 2, Charlottesville, VA 22908 | 2006-12-14 |
| 1023185394 | Tamer Ghanem | Otolaryngology | Dept. Otolaryngology, University of Virginia, 1 Hospital Dr., 2nd Floor Oms Rm 2747, Charlottesville, VA 22908 | 2006-11-29 |
| 1366401242 | Lisa M Christianson | Obstetrics & Gynecology | Uva Elson Student Health Center, 400 Brandon Avenue, Charlottesville, VA 22908 | 2006-03-21 |
| Find all providers in zip 22908 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861881682 | Nicholas F. Calabrese | Physician Assistant | 545 Ray C. Hunt Dr., Charlottesville, VA 22903-7851 | 2015-01-16 |
| 1366585952 | Alyssa Benning | Physician Assistant | 1 Hospital Dr Fl 3, Charlottesville, VA 22908-0001 | 2007-02-14 |
| 1851370589 | Gina L. Mitchell | Physician Assistant | 500 Martha Jefferson Dr Fl 5, Charlottesville, VA 22911 | 2006-01-11 |
| 1417316431 | Tara L. Deacon | Physician Assistant | 1215 Lee St, 2nd Floor, Charlottesville, VA 22908-0001 | 2016-02-18 |
| 1104283365 | Kaylyn A. Jackson | Physician Assistant | 1221 Lee St, 2nd Floor, Charlottesville, VA 22908-0001 | 2016-01-19 |
| 1073916045 | Kristin L Lilly | Physician Assistant | 1215 Lee St Fl 2, Charlottesville, VA 22908-0816 | 2014-10-03 |
| 1790100964 | John R. Curry | Physician Assistant | Hospital Dr, 4th Floor, Charlottesville, VA 22908-0001 | 2014-02-25 |
| 1962827139 | Danielle A. Moses | Physician Assistant | Lee St Fl 2, Charlottesville, VA 22908-0001 | 2014-02-25 |
| 1538584057 | Eileen C. Dearth | Physician Assistant | 1215 Lee St Fl 2, Charlottesville, VA 22908-0001 | 2014-02-20 |
| 1235561135 | Claire B. Denny | Physician Assistant | 545 Ray C. Hunt Drive, Charlottesville, VA 22906-0001 | 2013-08-01 |
| Find all providers in CHARLOTTESVILLE | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22908 |
Please comment or provide details below to improve the information on BRYAN V. ANDERSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.