Brett Joseph Waverly (NPI# 1902241268, PAC ID# 4082907845) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1902241268 |
| PAC ID by PECOS | 4082907845 |
| Professional Enrollment ID | I20170918000403 |
| Full Name | Brett Joseph Waverly |
| Organization Legal Name | ORTHOPEDIC SPECIALTY CLINIC LTD |
| Address |
9530 Cosner Dr Suite 101 Fredericksburg VA 22408-8709 |
| Phone Number | 5403611830 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 3870480130 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490022 | MARY WASHINGTON HOSPITAL |
| 490141 | SPOTSYLVANIA REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 9530 Cosner Dr, Suite 101, Fredericksburg, VA 22408-8709 | 5403611830 | ORTHOPEDIC SPECIALTY CLINIC LTD |
| Organization Legal Name | ORTHOPEDIC SPECIALTY CLINIC LTD |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tina M Dailey | Pain Management | Orthopedic Specialty Clinic Ltd | 9530 Cosner Dr, Suite 101, Fredericksburg, VA 22408-8709 |
| Kurt R Larson | Orthopedic Surgery | Orthopedic Specialty Clinic Ltd | 2800 Welford St, Suite 100, Fredericksburg, VA 22401 |
| Erik M Krushinski | Orthopedic Surgery | Orthopedic Specialty Clinic Ltd | 101 Hospital Ctr Blvd, Stafford, VA 22554-6200 |
| Anders C Brandt | Physical Therapy | Orthopedic Specialty Clinic Ltd | 2800 Welford St, Suite 100, Fredericksburg, VA 22401 |
| Joseph P Gowaty | Physician Assistant | Orthopedic Specialty Clinic Ltd | 2800 Welford St, Suite 100, Fredericksburg, VA 22401 |
| Timothy Neary | Orthopedic Surgery | Orthopedic Specialty Clinic Ltd | 2800 Welford St, Suite 100, Fredericksburg, VA 22401 |
| Raymond K Chung | Orthopedic Surgery | Orthopedic Specialty Clinic Ltd | 2800 Welford St, Suite 100, Fredericksburg, VA 22401 |
| Scott M Krushinski | Physician Assistant | Orthopedic Specialty Clinic Ltd | 2800 Welford St, Suite 100, Fredericksburg, VA 22401 |
| Raymond S Kirchmier Jr. | Orthopedic Surgery | Orthopedic Specialty Clinic Ltd | 2800 Welford St, Suite 100, Fredericksburg, VA 22401 |
| Allison N Baldwin | Physician Assistant | Orthopedic Specialty Clinic Ltd | 2800 Welford St, Suite 100, Fredericksburg, VA 22401 |
| Street Address |
9530 COSNER DR SUITE 101 |
| City | FREDERICKSBURG |
| State | VA |
| Zip | 22408-8709 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tina M Dailey | Pain Management | Orthopedic Specialty Clinic Ltd | 9530 Cosner Dr, Suite 101, Fredericksburg, VA 22408-8709 |
| Richard Lewis | Cardiovascular Disease (cardiology) | Cardiology Associates of Fredericksburg, Ltd. | 9530 Cosner Dr, Suite 200, Fredericksburg, VA 22408-8709 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel D Livingston | Certified Registered Nurse Anesthetist | Mcv Associated Physicians | 4604 Spotsylvania Prkway, Fredericksburg, VA 22408 |
| Stephen Matthew Carley | Podiatry | Rappahannock Foot and Ankle Specialists Plc | 195 Falcon Dr, Fredericksburg, VA 22408-1930 |
| Michelle Gauvin | Physical Therapy | Rappahannock Foot and Ankle Specialists Plc | 195 Falcon Dr, Fredericksburg, VA 22408-1930 |
| Michael Christopher Donato | Podiatry | Rappahannock Foot and Ankle Specialists Plc | 195 Falcon Dr, Fredericksburg, VA 22408-1930 |
| Rosemarie Rynkiewicz | Podiatry | Rappahannock Foot and Ankle Specialists Plc | 195 Falcon Dr, Fredericksburg, VA 22408-1930 |
| Sunshine Cathleen Brady-thomas | Podiatry | Rappahannock Foot and Ankle Specialists Plc | 195 Falcon Dr, Fredericksburg, VA 22408-1930 |
| Martha Ann Hurley | Podiatry | Rappahannock Foot and Ankle Specialists Plc | 195 Falcon Dr, Fredericksburg, VA 22408-1930 |
| You Jin Park | Physical Therapy | Rappahannock Foot and Ankle Specialists Plc | 195 Falcon Dr, Fredericksburg, VA 22408-1930 |
| Mary K Faber | Physical Therapy | Rappahannock Foot and Ankle Specialists Plc | 195 Falcon Dr, Fredericksburg, VA 22408-1930 |
| Joel C Zarzuela | Podiatry | Rappahannock Foot and Ankle Specialists Plc | 195 Falcon Dr, Fredericksburg, VA 22408-1930 |
| Find all physicians in zip 22408 | |||
| City | FREDERICKSBURG |
| Zip Code | 22408 |
| Specialty | PODIATRY |
| City + Specialty | FREDERICKSBURG + PODIATRY |
Please comment or provide details below to improve the information on Brett Joseph Waverly.
| 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.