BRENDAN MICHAEL O'CONNOR (NPI# 1245467257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245467257 |
| Entity Type | Individual |
| Full Name | BRENDAN MICHAEL O'CONNOR |
| Credential | M.D. |
| Practice Address |
Naval Medical Center Portsmouth 620 John Paul Jones Circle Portsmouth VA 23708 |
| Practice Telephone | 7579537550 |
| Mailing Telephone | 2169266873 |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2020-03-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
0101248034 | VA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 34800 Bob Wilson Dr, Nmcsd, San Diego, CA 921341098 | 8883756815 | |
| 2937 Princess Anne Cres, Chesapeake, VA 233214519 | 2169266873 | |
| 1912 N Brandon Ave, Norfolk, VA 23507 | 8887844763 | |
| 554 Keily Street, Jacksonville, FL 32212 | 7579537550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457873358 | Brendan John O'connor | Psychologist | 1289 Route 9 Ste 10, Wappingers Falls, NY 12590 | 2017-07-12 |
| 1154538700 | Brendan Patrick O'connor | Chiropractor | 3540 E Baseline Rd Ste 120, Phoenix, AZ 85042-9628 | 2007-05-16 |
| 1598200321 | Brendan Andrew O'connor | Nurse Anesthetist, Certified Registered | 10628 Park Rd, Charlotte, NC 28210-8407 | 2017-01-03 |
| 1073802187 | Brendan C. O'connor | Family Medicine | 3379 Chili Ave, Suite 100, Rochester, NY 14624-5325 | 2011-03-30 |
| 1114231925 | Brendan Joseph O'connor | Psychiatry & Neurology | 1 Barnes Jewish Hospital Plz Ste 15340, Ste 15340 West Pavillion, Saint Louis, MO 63110-1003 | 2010-08-04 |
| 1760674568 | Brendan Ryan O'connor | Specialist | 3901 Rainbow Boulevard, Mail Stop 1061, Kansas City, KS 66160 | 2007-08-15 |
| 1497837181 | Brendan Gerard O'connor | Dentist | 345 E 24th St, 213 Schwartz Bldg., New York, NY 10010-4020 | 2006-10-20 |
| Street Address |
NAVAL MEDICAL CENTER PORTSMOUTH 620 JOHN PAUL JONES CIRCLE |
| City | PORTSMOUTH |
| State | VA |
| Zip Code | 23708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437156577 | William Paul Magdycz Jr. | Otolaryngology | Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708-2197 | 2005-07-05 |
| 1871102285 | Christopher Gough | Dentist | Naval Medical Center Portsmouth, 620 John Paul Jones Cir, Portsmouth, VA 23708 | 2020-07-31 |
| 1073133989 | Daley Favo Auvil | Student in an Organized Health Care Education/Training Program | Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708 | 2020-04-21 |
| 1942835038 | Stefani Ann Vande Lune | Student in an Organized Health Care Education/Training Program | Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708 | 2020-03-09 |
| 1306478151 | Matthew D Monaco | Student in an Organized Health Care Education/Training Program | Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708 | 2020-02-10 |
| 1336796598 | Sierra Kelsey Dimberg | Psychologist | Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708 | 2019-08-22 |
| 1306408786 | Elizabeth Gallegos | Nurse Anesthetist, Certified Registered | Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708 | 2019-07-05 |
| 1164982161 | Rachel Barnes Deutsch | Student in an Organized Health Care Education/Training Program | Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708 | 2019-03-25 |
| 1255890968 | Jason A Jergensen | Student in an Organized Health Care Education/Training Program | Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708 | 2019-03-13 |
| 1003371246 | Tyler Baldino | Student in an Organized Health Care Education/Training Program | Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708 | 2019-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932724754 | William Dowling | Student in an Organized Health Care Education/Training Program | 260 John Paul Jones Circle, Fpo, AA 23708 | 2020-06-09 |
| 1760003156 | Kylie Miller | Student in an Organized Health Care Education/Training Program | 600 John Paul Jones Circle, Portsmouth, VA 23708 | 2020-04-27 |
| 1750900304 | Jonathan David Hickman | Student in an Organized Health Care Education/Training Program | Nmcp 620 John Paul Jones Cir., Bldg 3, Portsmouth, VA 23708 | 2020-04-14 |
| 1447716550 | Nathan Le Holterman | Student in an Organized Health Care Education/Training Program | Navy Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708 | 2019-02-13 |
| 1467930545 | Jonathan Volland | Dentist | Naval Medical Center - 620 John Paul Jones Cr, Portsmouth, VA 23708 | 2018-08-01 |
| 1629570171 | Brendan James O'shea | Student in an Organized Health Care Education/Training Program | 690 John Paul Jones Circle, Fpo, AA 23708 | 2018-03-01 |
| 1467909077 | Patricia Hicks Smith | Nurse Practitioner | 620 John Paul Jones Blvd., Naval Medical Center Portsmouth, Portsmouth, VA 23708 | 2016-09-01 |
| 1790139392 | Lauren Pitters | Student in an Organized Health Care Education/Training Program | 620 John Paul Jones Circle Drive, Naval Medical Center Portsmouth, Portsmouth, VA 23708 | 2016-04-20 |
| 1841683745 | Karrie Anne Brondell Walker | Student in an Organized Health Care Education/Training Program | 620 John Paul Jones, Naval Medical Center Portsmouth, Portsmouth, VA 23708 | 2015-03-17 |
| 1962821967 | Jody Manners | Psychiatry & Neurology | 620 John Paul Jones Cir # 2e, Portsmouth, VA 23708 | 2014-04-08 |
| Find all providers in zip 23708 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366813859 | Amjad Massoud | Radiology | 18 Sheafe St, Portsmouth, NH 03801-3818 | 2015-10-09 |
| 1992775779 | Karen Leigh Matthews | Radiology | Naval Medical Center Portsmouth, Dept. of Radiology, 620 John Paul Jones Circle, Portsmouth, VA 23708-2111 | 2006-01-25 |
| 1316922057 | Katherine Mary Tobin | Radiology | 579 Sagamore Ave, Unit 60, Portsmouth, NH 03801-5584 | 2005-12-14 |
| 1891795696 | Jerald D Hansing | Radiology | 1735 Franklin Blvd, Portsmouth, OH 45662-3106 | 2005-07-22 |
| 1114456266 | Insight-premier Health LLC | Radiology | 100 Griffin Road, Suite C, Portsmouth, NH 03801-7158 | 2017-06-11 |
| 1437515665 | Womens Imaging Center of Portsmouth LLC | Radiology | 355 Crawford St, Suite 102, Portsmouth, VA 23704-2816 | 2016-01-04 |
| 1609294289 | Andrew Scott Morris | Radiology | Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708 | 2014-04-01 |
| 1669895769 | Robert Mcclure | Radiology | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2014-01-24 |
| 1053748822 | Adam David Evans | Radiology | 1805 27th St, Portsmouth, OH 45662-2640 | 2013-10-10 |
| 1083057178 | Jami Michelle Lyon | Radiology | 1121 Kinneys Ln, Portsmouth, OH 45662-2806 | 2013-04-09 |
| Find all providers in PORTSMOUTH | ||||
| City | PORTSMOUTH |
| Zip Code | 23708 |
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| 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.