Kelli C Brezovic (NPI# 1861722852, PAC ID# 2769450766) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1861722852 |
| PAC ID by PECOS | 2769450766 |
| Professional Enrollment ID | I20180409000760 |
| Full Name | Kelli C Brezovic |
| Organization Legal Name | QUIETLY RADIANT PSYCHIATRIC SERVICES |
| Address |
1300 Diamond Springs Rd Suite 503 Virginia Beach VA 23455-3645 |
| Phone Number | 7576561665 |
| Gender | F |
| Credential | PA |
| Graduation Year | 2001 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9830491497 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1300 Diamond Springs Rd, Suite 503, Virginia Beach, VA 23455-3645 | 7576561665 | QUIETLY RADIANT PSYCHIATRIC SERVICES |
| 1300 Diamond Springs Rd, Virginia Beach, VA 23455-3645 | 7576561665 | QUIETLY RADIANT PSYCHIATRIC SERVICES |
| Organization Legal Name | QUIETLY RADIANT PSYCHIATRIC SERVICES |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Terry D Caldwell | Clinical Social Worker | Quietly Radiant Psychiatric Services | 1300 Diamond Springs Rd, Suite 503, Virginia Beach, VA 23455-3645 |
| Georgia S Phillips | Clinical Social Worker | Quietly Radiant Psychiatric Services | 1300 Diamond Springs Rd, Suite 503, Virginia Beach, VA 23455-3645 |
| Udaya K Shetty | Psychiatry | Quietly Radiant Psychiatric Services | 1300 Diamond Springs Rd, Suite 503, Virginia Beach, VA 23455-3645 |
| Dana M Dixon | Clinical Social Worker | Quietly Radiant Psychiatric Services | 1300 Diamond Springs Rd, Suite 503, Virginia Beach, VA 23455-3645 |
| Danielle Gange | Nurse Practitioner | Quietly Radiant Psychiatric Services | 1300 Diamond Springs Rd, Suite 503, Virginia Beach, VA 23455-3645 |
| Street Address |
1300 DIAMOND SPRINGS RD SUITE 503 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip | 23455-3645 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Terry D Caldwell | Clinical Social Worker | Quietly Radiant Psychiatric Services | 1300 Diamond Springs Rd, Suite 503, Virginia Beach, VA 23455-3645 |
| Georgia S Phillips | Clinical Social Worker | Quietly Radiant Psychiatric Services | 1300 Diamond Springs Rd, Suite 503, Virginia Beach, VA 23455-3645 |
| Udaya K Shetty | Psychiatry | Quietly Radiant Psychiatric Services | 1300 Diamond Springs Rd, Suite 503, Virginia Beach, VA 23455-3645 |
| Dana M Dixon | Clinical Social Worker | Quietly Radiant Psychiatric Services | 1300 Diamond Springs Rd, Suite 503, Virginia Beach, VA 23455-3645 |
| Danielle Gange | Nurse Practitioner | Quietly Radiant Psychiatric Services | 1300 Diamond Springs Rd, Suite 503, Virginia Beach, VA 23455-3645 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Florisa S Singson | Family Medicine | 4501 N Witch Duck Rd, Suite B, Virginia Beach, VA 23455 | |
| Catherine I Bowers | Registered Dietitian Or Nutrition Professional | 2501 Windy Rd, Virginia Beach, VA 23455-1532 | |
| Meredith Constance Galt | Physician Assistant | Sentara Medical Group | 2017 Pleasure House Rd, Virginia Beach, VA 23455-2709 |
| Jamie Ducharme | Psychologist, Clinical | 2005 Pleasure House Rd, Virginia Beach, VA 23455-2709 | |
| Sam Waltos | Family Medicine | Sentara Medical Group | 2017 Pleasure House Rd, Virginia Beach, VA 23455-2709 |
| Samurdhi J Roberts | Physician Assistant | Sentara Medical Group | 2017 Pleasure House Rd, Virginia Beach, VA 23455-2709 |
| Leah A Stewart | Nurse Practitioner | Sentara Medical Group | 2017 Pleasure House Rd, Virginia Beach, VA 23455-2709 |
| Thomas J Morgan | Chiropractic | 4837 Shore Dr, Virginia Beach, VA 23455-2714 | |
| Carly Schuler Swift | Chiropractic | 4640 Shore Dr, Suite 106, Virginia Beach, VA 23455-2859 | |
| Mark Scott | Chiropractic | 1801 Pleasure House Rd, Suite 105, Virginia Beach, VA 23455-2990 | |
| Find all physicians in zip 23455 | |||
| City | VIRGINIA BEACH |
| Zip Code | 23455 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | VIRGINIA BEACH + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Kelli C Brezovic.
| 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.