BRYAN N. BAINES (NPI# 1205839461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205839461 |
Entity Type | Individual |
Full Name | BRYAN N. BAINES |
Credential | M.D. |
Practice Address |
13347 Warwick Blvd Newport News VA 23602-5601 |
Mailing Address |
860 Omni Blvd Suite 303 Newport News VA 23606-4430 |
Practice Telephone | 7578770214 |
Practice Fax Number | 7578750524 |
Mailing Telephone | 7572328777 |
Mailing Fax Number | 7572328875 |
Enumeration Date | 2005-05-23 |
Last Update Date | 2012-12-28 |
NPI Deactivation Date | 03/15/2006 |
NPI Reactivation Date | 2006-03-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 0101043474 | VA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | RAILROAD MEDICARE | 080105932 | 01 |
VA | 5623014 | 05 | |
VA | UNITED HEALTHCARE PROV. # | 0102080 | 01 |
VA | MAMSI PROVIDER NUMBER | 233398 | 01 |
VA | ANTHEM PROVIDER NUMBER | 250460 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194332379 | Bryan Keith Baines Sr. | Specialist/Technologist | 4333 John R Rd, Troy, MI 48085-3681 | 2020-09-30 |
Street Address |
13347 WARWICK BLVD |
City | NEWPORT NEWS |
State | VA |
Zip Code | 23602-5601 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982218582 | Alexandria Lea Bikker | Physician Assistant | 13347 Warwick Blvd, Newport News, VA 23602-5601 | 2020-09-02 |
1497161954 | Nicole Munshower | Physician Assistant | 13347 Warwick Blvd, Newport News, VA 23602-5601 | 2014-07-05 |
1770879686 | Alana Dorsey Pringle | Family Medicine | 13347 Warwick Blvd, Newport News, VA 23602-5601 | 2011-06-20 |
1669773297 | Caitlin Kufahl | Physician Assistant | 13347 Warwick Blvd, Newport News, VA 23602-5601 | 2010-11-12 |
1356322333 | Keith E Taylor | Family Medicine | 13347 Warwick Blvd, Newport News, VA 23602-5601 | 2005-11-08 |
1396735767 | Robert P Butcher | Family Medicine | 13347 Warwick Blvd, Newport News, VA 23602-5601 | 2005-10-26 |
1417941824 | Jennifer L Sharp-warthan | Family Medicine | 13347 Warwick Blvd, Newport News, VA 23602-5601 | 2005-08-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538789425 | Aishah Naomi Khursheed | Counselor | 727 J Clyde Blvd, Ste A, Newport News, VA 23602 | 2020-04-21 |
1962069526 | Boss Inner Child Counseling, LLC | Clinic/Center | 14203 Old Courthouse Way, Suite B, Newport News, VA 23602 | 2019-05-20 |
1922598572 | Manoj Chawla | Internal Medicine | 1000 Old Denbigh Blvd # 1020a, Newport News, VA 23602 | 2018-05-18 |
1750896999 | Alexandra Paige Jones | Behavioral Analyst | 12727 Mcmanus Blvd., Newport News, VA 23602 | 2017-12-11 |
1457712556 | Mary Ellen Lynch | Registered Nurse | American Addiction Treatment Center, 12695 Mcmanus Blvd, Bdg 2, Newport News, VA 23602 | 2016-03-16 |
1790159481 | Megan Ashley Burkart Schmidt | Registered Nurse | 903 Kinsale Cres, Newport News, VA 23602 | 2015-11-18 |
1962870733 | Natalie Marie Bradshaw-smith | Nurse Practitioner | 401 Oyster Point Rd Ste A, Newport News, VA 23602 | 2015-09-09 |
1477953578 | Jonathan Edwards | Pathology | Bon Secours Mary Immaculate Hospital, Pathology Dept, 2 Bernardine Dr, Newport News, VA 23602 | 2014-08-26 |
1588063663 | Cathy G Cooke | Psychologist | 12695 Mcmanus Blvd. Bldg #8, Newport News, VA 23602 | 2014-08-14 |
1538576764 | John Michael Sullivan | Psychologist | One Old Oyster Point Road, Newport News, VA 23602 | 2014-07-21 |
Find all providers in zip 23602 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730651282 | Asia Denise Gordon | Family Medicine | 12715 Warwick Blvd # M&o, Newport News, VA 23606 | 2018-12-21 |
1962858944 | Helen G Arnold | Family Medicine | 12715 Warwick Blvd Ste M&o, Newport News, VA 23606 | 2016-05-10 |
1285071233 | Kevin Paul Wolf | Family Medicine | 12420 Warwick Blvd Bldg 3, Riverside Internal Medicine, Newport News, VA 23606-3001 | 2013-05-31 |
1558596031 | Tam Xuan Tran | Family Medicine | 10510 Jefferson Ave Ste A, Newport News, VA 23601-3102 | 2009-05-27 |
1912166562 | Rudolph Joseph Naurath | Family Medicine | 21 Beverly Hills Dr, Newport News, VA 23606-2157 | 2008-06-07 |
1861650806 | Ricardo J Guardia | Family Medicine | 206 Cameron Dr, Newport News, VA 23606-1431 | 2008-05-27 |
1396941852 | Darany Khun Toy | Family Medicine | 12695 Mcmanus Blvd Bldg 6, Newport News, VA 23602-4435 | 2007-06-22 |
1437351889 | Rabbiya Nasir Abidi | Family Medicine | 500 J Clyde Morris Boulevard, Riverside Regional Medical Center, Newport News, VA 23601 | 2007-06-05 |
1548475775 | Daniel Lee Medical Group PC | Family Medicine | 716 Denbigh Blvd Suite C3, Newport News, VA 23608-4414 | 2007-05-11 |
1275751166 | Sinclair B. Mccracken, Md, PC | Family Medicine | 704 Thimble Shoals Blvd Ste 600a, Newport News, VA 23606-4558 | 2007-04-23 |
Find all providers in NEWPORT NEWS |
City | NEWPORT NEWS |
Zip Code | 23602 |
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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.