Candace V Bryan (NPI# 1376750133, PAC ID# 0749374312) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1376750133 |
| PAC ID by PECOS | 0749374312 |
| Professional Enrollment ID | I20070913000707 |
| Full Name | Candace V Bryan |
| Organization Legal Name | NEUROLOGY CENTER OF FAIRFAX, LTD |
| Address |
3020 Hamaker Ct Suite 400 Fairfax VA 22031-2220 |
| Phone Number | 70387608001208 |
| Gender | F |
| Medical School | UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | NEUROLOGY |
| Group Practice PAC ID | 3577558659 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490063 | INOVA FAIRFAX HOSPITAL |
| 490107 | RESTON HOSPITAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3020 Hamaker Ct, Suite 400, Fairfax, VA 22031-2220 | 70387608001208 | NEUROLOGY CENTER OF FAIRFAX, LTD |
| Organization Legal Name | NEUROLOGY CENTER OF FAIRFAX, LTD |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard C Seestedt Jr. | Neurology | Neurology Center of Fairfax, Ltd | 3020 Hamaker Ct, Suite 400, Fairfax, VA 22031-2220 |
| Amy Stone | Neurology | Neurology Center of Fairfax, Ltd | 3020 Hamaker Ct, Suite 400, Fairfax, VA 22031-2220 |
| James P Simsarian | Neurology | Neurology Center of Fairfax, Ltd | 3020 Hamaker Ct, Suite 400, Fairfax, VA 22031-2220 |
| Matthew Churchill | Neurology | Neurology Center of Fairfax, Ltd | 3020 Hamaker Ct, Suite 400, Fairfax, VA 22031-2220 |
| Marco Castro | Neurology | Neurology Center of Fairfax, Ltd | 3020 Hamaker Ct, Suite 400, Fairfax, VA 22031-2220 |
| Richard Cho | Neurology | Neurology Center of Fairfax, Ltd | 1830 Town Ctr Dr, Suite 305, Reston, VA 20190-3217 |
| Mark C Tekrony | Neurology | Neurology Center of Fairfax, Ltd | 1830 Town Ctr Dr, Suite 305, Reston, VA 20190-3217 |
| Robert Richard | Neurology | Neurology Center of Fairfax, Ltd | 1830 Town Ctr Dr, Suite 305, Reston, VA 20190-3217 |
| Robert N Kurtzke | Neurology | Neurology Center of Fairfax, Ltd | 3020 Hamaker Ct, Suite 400, Fairfax, VA 22031-2220 |
| Street Address |
3020 HAMAKER CT SUITE 400 |
| City | FAIRFAX |
| State | VA |
| Zip | 22031-2220 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allyson L Ricciardiello | Physician Assistant | Inova Health Care Services | 3020 Hamaker Ct, Suite 101, Fairfax, VA 22031-2233 |
| Asha E Neptune | Pediatric Medicine | Inova Health Care Services | 3020 Hamaker Ct, Suite 101, Fairfax, VA 22031-2233 |
| Richard C Seestedt Jr. | Neurology | Neurology Center of Fairfax, Ltd | 3020 Hamaker Ct, Suite 400, Fairfax, VA 22031-2220 |
| Robin B Merlino | Internal Medicine | 3020 Hamaker Ct, B106, Fairfax, VA 22031-2236 | |
| Lee O Walters | Physician Assistant | Inova Health Care Services | 3020 Hamaker Ct, Suite 101, Fairfax, VA 22031-2233 |
| Barry Saffran | Podiatry | 3020 Hamaker Ct, Suite 201, Fairfax, VA 22031-2220 | |
| Amy Stone | Neurology | Neurology Center of Fairfax, Ltd | 3020 Hamaker Ct, Suite 400, Fairfax, VA 22031-2220 |
| James P Simsarian | Neurology | Neurology Center of Fairfax, Ltd | 3020 Hamaker Ct, Suite 400, Fairfax, VA 22031-2220 |
| Matthew Churchill | Neurology | Neurology Center of Fairfax, Ltd | 3020 Hamaker Ct, Suite 400, Fairfax, VA 22031-2220 |
| Marco Castro | Neurology | Neurology Center of Fairfax, Ltd | 3020 Hamaker Ct, Suite 400, Fairfax, VA 22031-2220 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ethan Ellsworth Gramstad | Physical Therapy | Jackson Clinics Limited Partnership | 8550 Lee Hwy 450, Fairfax, VA 22031-1519 |
| Danielle E Bloom | Physical Therapy | Jackson Clinics Limited Partnership | 8550 Lee Hwy 450, Fairfax, VA 22031-1519 |
| Patricia K Towsley | Physical Therapy | Jackson Clinics Limited Partnership | 8550 Lee Hwy 450, Fairfax, VA 22031-1519 |
| Carly Bose Klemen | Physical Therapy | Jackson Clinics Limited Partnership | 8550 Lee Hwy 450, Fairfax, VA 22031-1519 |
| Barbara Semple | Physical Therapy | Jackson Clinics Limited Partnership | 8550 Lee Hwy 450, Fairfax, VA 22031-1519 |
| Madison J Buckley | Physical Therapy | Jackson Clinics Limited Partnership | 8550 Lee Hwy 450, Fairfax, VA 22031-1519 |
| Megan Alexandria Sharo | Physical Therapy | Jackson Clinics Limited Partnership | 8550 Lee Hwy 450, Fairfax, VA 22031-1519 |
| Christopher Millikan | Physical Therapy | Jackson Clinics Limited Partnership | 8550 Lee Hwy 450, Fairfax, VA 22031-1519 |
| Lauren Michelle Goldberg | Physical Therapy | Jackson Clinics Limited Partnership | 8550 Lee Hwy 450, Fairfax, VA 22031-1519 |
| Erin M Mcdonald | Physical Therapy | Jackson Clinics Limited Partnership | 8550 Lee Hwy 450, Fairfax, VA 22031-1519 |
| Find all physicians in zip 22031 | |||
| City | FAIRFAX |
| Zip Code | 22031 |
| Specialty | NEUROLOGY |
| City + Specialty | FAIRFAX + NEUROLOGY |
Please comment or provide details below to improve the information on Candace V Bryan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.