DR. BRYCHAN K.M. CLARK (NPI# 1497878961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497878961 |
| Entity Type | Individual |
| Full Name | DR. BRYCHAN K.M. CLARK |
| Credential | M.D. |
| Practice Address |
130 Executive Center Pkwy Mcguire Va Clinic Fredericksburg Cboc Fredericksburg VA 22401-3100 |
| Practice Telephone | 5403704468 |
| Practice Fax Number | 5403706048 |
| Mailing Telephone | 5403704468 |
| Mailing Fax Number | 5403706048 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2016-03-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
ME 82925 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
130 EXECUTIVE CENTER PKWY MCGUIRE VA CLINIC FREDERICKSBURG CBOC |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22401-3100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659322659 | Fu-yu Chiang | Internal Medicine | 130 Executive Center Pkwy, Fredericksburg, VA 22401-3100 | 2006-05-14 |
| 1558738807 | Leslie Kolbig | Pharmacist | 130 Executive Center Pkwy, Fredericksburg, VA 22401-3100 | 2015-08-21 |
| 1447650627 | Delisa Stanfill Showers | Nurse Practitioner | 130 Executive Center Pkwy, Hbpc, Fredericksburg, VA 22401-3100 | 2014-08-25 |
| 1225470065 | Saundra Delphine Mercer | Social Worker | 130 Executive Center Pkwy, Fredericksburg, VA 22401-3100 | 2013-07-22 |
| 1396025698 | Kelly Jensen Wade | Psychologist | 130 Executive Center Pkwy, Fredericksburg, VA 22401-3100 | 2011-08-18 |
| 1992090021 | Sangil Park | Psychiatry & Neurology | 130 Executive Center Pkwy, Fredericksburg, VA 22401-3100 | 2011-06-16 |
| 1942226311 | Dolores A Lindblom | Counselor | 130 Executive Center Pkwy, Fredericksburg, VA 22401-3100 | 2006-07-15 |
| 1023058591 | Robert H Seamon | Internal Medicine | 130 Executive Center Pkwy, Fredericksburg, VA 22401-3100 | 2006-06-06 |
| 1093752099 | Richmond Vamc | Clinic/Center | 130 Executive Center Pkwy, Fredericksburg, VA 22401-3100 | 2006-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992313415 | Amanda Dodd | Behavior Technician | 1411 Princess Anne, Fredericksburg, VA 22401 | 2020-07-21 |
| 1215567326 | Britteny Whitaker | Behavior Technician | 1411 Princess Ann, Fredericksburg, VA 22401 | 2020-01-17 |
| 1396389433 | Ashley Stanevich | Behavior Technician | 1411 Princess Anne Lane, Fredericksburg, VA 22401 | 2019-11-01 |
| 1265074231 | Anna Kelleher | Behavior Technician | 1411 Princess Anna St, Frericksburg, VA 22401 | 2019-10-11 |
| 1649824152 | Zaan Z Ali | Audiologist | 1708 Fall Hill Ave Suite 100, Fredericksburg, VA 22401 | 2019-08-01 |
| 1790342426 | Michael Williams Jr. | Physician Assistant | 411 B Park Hill Dr, Frederickburg, VA 22401 | 2019-05-29 |
| 1285290965 | Ann Damalie Namabiro | Behavior Technician | 1411 Princess Ann Street, Fredericksburg, VA 22401 | 2019-05-17 |
| 1922579630 | Primary and Urgent Care LLC | Family Medicine | Primary and Urgent Care LLC, 2306 Plank Road Ste 100, Fredericksburg, VA 22401 | 2018-12-07 |
| 1003323056 | Mariah Mazzariello | Behavior Technician | 1411 Princess Anne Stree, Fredericksburg, VA 22401 | 2017-12-29 |
| 1336655281 | Hina Zafar | Behavior Technician | 1411 Princess Anne St., Fredericksburg, VA 22401 | 2017-12-14 |
| Find all providers in zip 22401 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588980015 | Spotsylvania Multi-specialty Group, LLC | Internal Medicine | 4604 Spotsylvania Parkway, Suite 200, Fredericksburg, VA 22408-7762 | 2010-04-08 |
| 1659322659 | Fu-yu Chiang | Internal Medicine | 130 Executive Center Pkwy, Fredericksburg, VA 22401-3100 | 2006-05-14 |
| 1780889337 | Florence Tchouaffi-nana | Internal Medicine | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 | 2007-06-15 |
| 1548327448 | Fredericksburg Infectious Disease | Internal Medicine | 521 Park Hill Dr, Fredericksburg, VA 22401-3377 | 2007-01-02 |
| 1720165277 | Awol Y. Ali | Internal Medicine | 1101 Sam Perry Blvd, Fredericksburg, VA 22401-4467 | 2006-11-01 |
| 1194777946 | Norman Bernstein | Internal Medicine | 1101 Sam Perry Blvd, Suite 307, Fredericksburg, VA 22401-4467 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952812364 | Virginia Id Doctors LLC | Internal Medicine | 4437 Brookfield Corporate Dr Ste 101, Chantilly, VA 20151-2122 | 2017-10-12 |
| 1841749272 | Lawrence Daniel Mullany | Internal Medicine | 12272 Declaration Ave, Chester, VA 23836-3057 | 2016-09-27 |
| 1790172724 | Sana Attar | Internal Medicine | 8220 Meadowbridge Rd Ste 203, Mechanicsville, VA 23116-2339 | 2015-04-16 |
| 1811395205 | W. Robert Lange | Internal Medicine | 835 Gangplank Rd Unit 110, Moneta, VA 24121-2499 | 2014-12-17 |
| 1063835304 | Juan Weiss | Internal Medicine | 9335 Amaryllis Ave., Manassas, VA 20110 | 2014-01-22 |
| 1104165034 | Derek Thomas Larson | Internal Medicine | 133 Green Meadow Dr, Portsmouth, VA 23701-1522 | 2013-02-13 |
| 1023361086 | Valerie Riddle | Internal Medicine | 185 Tara Woods Dr, Bumpass, VA 23024-4934 | 2012-10-16 |
| 1053676858 | Mir Akbar Ali | Internal Medicine | 4720 Puddledock Rd Ste 120, Prince George, VA 23875-1275 | 2012-07-08 |
| 1841560273 | Donald Gray Heppner Jr. | Internal Medicine | 1041 Half Mile Branch Rd, Crozet, VA 22932-3306 | 2012-01-02 |
| 1790075901 | Jillian Eileen Raybould | Internal Medicine | 1000 E Marshall St, Vmi Building, Suite 2015, Richmond, VA 23298-1901 | 2011-04-10 |
| Find all providers with the same taxonomy | ||||
| City | FREDERICKSBURG |
| Zip Code | 22401 |
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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.