MR. BRIAN SCOTT ANDERSON


Address: 1465 Hewitt Dr, Norfolk, VA 23521-2519
Phone: 7574623992

MR. BRIAN SCOTT ANDERSON (NPI# 1306079215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306079215
Entity Type Individual
Full Name MR. BRIAN SCOTT ANDERSON
Credential DMT, IDC
Practice Address 1465 Hewitt Dr
Norfolk
VA 23521-2519
Practice Telephone 7574623992
Enumeration Date 2009-08-26
Last Update Date 2009-08-26
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1002X Military Health Care Provider
Specialization: Independent Duty Corpsman
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Office Location

Street Address 1465 HEWITT DR
City NORFOLK
State VA
Zip Code 23521-2519

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396967584 Daniel Gilbert Military Health Care Provider 1465 Hewitt Dr, Norfolk, VA 23521-2519 2007-05-03
1245499094 Ryan Clinton Gilbert Military Health Care Provider 1465 Hewitt Dr, Norfolk, VA 23521-2519 2008-06-06
1841459971 Michael Christopher Cleaves Military Health Care Provider 1465 Hewitt Dr, Uct-one, Norfolk, VA 23521-2519 2008-06-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720352958 Omar Antonio Pescador Military Health Care Provider Seal Team 10 Medical Department, Bldg 3808, Virginia Beach, VA 23521 2012-03-06
1013219591 Naval Special Warfare Group Three Det Little Creek Military Hospital 1840 Intercove Rd, Norfolk, VA 23521 2010-12-03
1750610788 Melissa Christine Foster Military Health Care Provider 2901 Amphibious Drive, Acu-2, Norfolk, VA 23521 2009-12-22
1396837068 Sharon A Raghubar Dentist Nab Little Creek, 1035 Nider Blvd. Suite 200, Norfolk, VA 23521 2006-09-29
1073581823 Karen Hintz Charlton Physician Assistant 1035 Nidar Blvd, Norfolk, VA 23521 2006-03-09
1518937846 Timothy Paul Tobin Optometrist Branch Medical Clinic, Little Creek, 1035 Nider Blvd Ste 100, Norfolk, VA 23521 2006-01-26
1225273691 Jason Paul Arceneaux Military Health Care Provider 1355 Helicopter Rd, Norfolk, VA 23521 2008-12-12
1679749220 Christopher J Marquez Military Health Care Provider 1840 Gator Blvd, Seal Team Two Bldg 3841, Norfolk, VA 23521 2008-05-05
1073513099 Thomas Schlater Optometrist 1035 Nider Blvd, Norfolk, VA 23521 2005-08-01
1902066731 Scott Lafountaine Military Health Care Provider 1840 Cove Road, Naval Special Warfare Group Two Medical Department, Norfolk, VA 23521-2100 2008-06-16
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Taxonomy Information

Taxonomy Code 1710I1002X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Corpsman

Taxonomy Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new]

Providers in the same taxonomy and city

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1841694684 Andre Huggins Military Health Care Provider 1687 Pocahontas St, Bldg 1a, Norfolk, VA 23511-2918 2014-10-21
1861753030 Spencer Grey Military Health Care Provider 334 E Evans St, Norfolk, VA 23503-5213 2012-06-05
1508155375 Leonard B Gordon Military Health Care Provider Comnavsurflant N02m, 1430 Mitscher Ave, Norfolk, VA 23551-2494 2011-04-01
1073812095 Eric William Staley Military Health Care Provider 7958 Blandy Road, Commander Submarine Force Atlantic, Norfolk, VA 23551-2492 2011-03-16
1497051460 Mitchell Todd Pearce Military Health Care Provider 1004 Hermitage Rd., Norfolk, VA 23521-5000 2011-02-08
1003119538 Shayla R Robertson Military Health Care Provider 150 Allen St, Norfolk, VA 23505-1373 2010-12-05
1053629964 Shawnly Heath Ward Military Health Care Provider Surface Warfare Medical Institute - East, 459 Bellinger Blvd, Norfolk, VA 23511 2010-09-14
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Competitor

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City NORFOLK
Zip Code 23521

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Dataset Information

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.

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