BRIAN BURDICK (NPI# 1821453887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821453887 |
Entity Type | Individual |
Full Name | BRIAN BURDICK |
Practice Address |
620 John Paul Jones Cir Portsmouth VA 23708-2111 |
Mailing Address |
2107 Brennhaven Trl Chesapeake VA 23323-6413 |
Practice Telephone | 7579533422 |
Mailing Telephone | 8505258183 |
Enumeration Date | 2015-12-17 |
Last Update Date | 2015-12-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
95000946 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
620 JOHN PAUL JONES CIR |
City | PORTSMOUTH |
State | VA |
Zip Code | 23708-2111 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427054840 | Debra Tooke Crowell | Registered Nurse | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2005-06-21 |
1659970424 | Jennifer T Birchwale | Student in an Organized Health Care Education/Training Program | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2020-10-22 |
1861091985 | Carin Kimberly Teeters | Psychologist | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2020-10-20 |
1275130825 | Dartangion Pierre Walker | Dental Hygienist | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2020-10-07 |
1750996054 | Kevin Wilfong | Psychologist | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2020-09-14 |
1598379901 | Paula Shepard | Psychologist | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2020-09-02 |
1578177234 | Rebekah Gunter | Psychologist | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2020-09-01 |
1225641863 | Dylan Quoc-chuong Vu | Dentist | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2020-08-24 |
1467060111 | Ili Yuan | Dentist | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2020-07-20 |
1750909172 | Marsades Ceasar | Social Worker | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2020-07-13 |
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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 | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578035549 | Caitlin Farmer | Nurse Practitioner | 155 Borthwick Ave Ste 202, Portsmouth, NH 03801-7156 | 2019-01-01 |
1518466721 | Kristen Blanchard | Nurse Practitioner | 188 Jones Ave, Portsmouth, NH 03801-5516 | 2018-02-03 |
1922413764 | Valerie L Decamp | Nurse Practitioner | 1805 27th St, Portsmouth, OH 45662-2640 | 2014-06-30 |
1417378811 | Jennifer Colleen Silva | Nurse Practitioner | 2444 E Main Rd, Portsmouth, RI 02871-4025 | 2014-01-02 |
1871660381 | Lisa Faye Rose | Nurse Practitioner | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2006-11-29 |
1326071721 | Judith E Trotter | Nurse Practitioner | 95 Brewery Ln, Suite 10, Portsmouth, NH 03801-4994 | 2006-07-09 |
1477503068 | Nancy T. Seesman | Nurse Practitioner | 330 Borthwick Ave, Suite 308, Portsmouth, NH 03801-4174 | 2006-05-12 |
1760468235 | Christine T Mccall | Nurse Practitioner | 1 Ayers Cir, Bldg H 1, Portsmouth, NH 03801-3892 | 2005-12-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851999668 | Sharon Annette Mclaurin | Nurse Practitioner | 23320 Rogerdale Pl, Sterling, VA 20166-2143 | 2020-10-14 |
1538775697 | First Choice Anderson Fnp LLC | Nurse Practitioner | 127 Rabey Farm Rd, Suffolk, VA 23435-2256 | 2020-09-23 |
1225653629 | Christine Fay Amorosi | Nurse Practitioner | 1200 S Huntress Ct, Mc Lean, VA 22102-2515 | 2020-06-11 |
1124642673 | Andrea Danielle Stanley | Nurse Practitioner | 4232 Stanley Ln, Salem, VA 24153-4027 | 2020-06-01 |
1669938825 | Mishii Strother Hamlor | Nurse Practitioner | 4801 Newbys Mill Ter, Chesterfield, VA 23832-7875 | 2019-02-13 |
1942773908 | Tammy Jean Davidson | Nurse Practitioner | 1077 Saint Clairs Creek Rd, Chilhowie, VA 24319-5893 | 2019-01-02 |
1891266847 | Sarantuya Sukhee-hungerford | Nurse Practitioner | 102 Elden St Ste 16, Herndon, VA 20170-4839 | 2018-12-16 |
1174092894 | Advanced Practice Services, LLC | Nurse Practitioner | 362 Pleasant Pl, Charlottesville, VA 22911-2212 | 2018-11-26 |
1912472713 | Elina Sergeyevna Reynolds | Nurse Practitioner | 221 Mount Pleasant Rd Unit A-1, Chesapeake, VA 23322-4155 | 2018-10-08 |
1669950739 | Anthony Interrante IIi | Nurse Practitioner | Usaf Hospital Langley, 77 Nealy Avenue, Hampton, VA 23665 | 2018-08-01 |
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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.