DR. BRIAN GARDNER (NPI# 1356785455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356785455 |
| Entity Type | Individual |
| Full Name | DR. BRIAN GARDNER |
| Credential | M.D. |
| Practice Address |
1215 Lee St Box 800719 Charlottesville VA 22908-0816 |
| Practice Telephone | 4349242150 |
| Practice Fax Number | 4349821530 |
| Mailing Telephone | 4349242150 |
| Mailing Fax Number | 4349821530 |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2019-10-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
82070 | SC | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 820703 | 05 | |
| SC | SC MEDICARE | SCF2284467 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972115855 | Brian Louis Gardner | Respiratory Therapist, Registered | 270 International Cir, San Jose, CA 95119-1130 | 2020-08-20 |
| 1932727690 | Brian James Gardner | Physical Therapist | 4128 E Grand River Ave, Howell, MI 48843-6538 | 2020-07-09 |
| 1518111988 | Brian Leslie Gardner | Family Medicine | 43 Lincoln Ave, Gardiner, ME 04345-2517 | 2008-11-11 |
| 1396943825 | Brian Kowallis Gardner | Podiatrist | 210 W 300 N, Roosevelt, UT 84066-2336 | 2007-07-05 |
| 1144245465 | Brian Gardner | Optometrist | 5301 Limestone Rd Ste 223, Wilmington, DE 19808-1265 | 2006-07-13 |
| Street Address |
1215 LEE ST BOX 800719 |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22908-0816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760486328 | Kirk W Tanner | Nurse Anesthetist, Certified Registered | 1215 Lee St, Charlottesville, VA 22908-0816 | 2005-06-10 |
| 1801493283 | Angela Jewell Strickler | Nurse Practitioner | 1215 Lee St, Charlottesville, VA 22908-0816 | 2020-10-08 |
| 1629675475 | Kimberlee M Mauck | Physician Assistant | 1215 Lee St, Charlottesville, VA 22908-0816 | 2020-10-05 |
| 1407463953 | Amy Johnston | Clinical Nurse Specialist | 1215 Lee St, Charlottesville, VA 22908-0816 | 2020-09-29 |
| 1194332882 | Mihwa Ahn | Nurse Practitioner | 1215 Lee St, Charlottesville, VA 22908-0816 | 2020-09-26 |
| 1346856721 | Farren Hume Dodson | Nurse Practitioner | 1215 Lee St, Charlottesville, VA 22908-0816 | 2020-09-21 |
| 1003422619 | Darlene Acero | Dietitian, Registered | 1215 Lee St, Charlottesville, VA 22908-0816 | 2020-09-18 |
| 1689289571 | Erin Harr | Nurse Practitioner | 1215 Lee St, Charlottesville, VA 22908-0816 | 2020-09-09 |
| 1518572460 | Juan Pablo Sardi Restrepo | Student in an Organized Health Care Education/Training Program | 1215 Lee St, Mail Stop 800212, Charlottesville, VA 22908-0816 | 2020-09-08 |
| 1366055956 | Erin Louise Tennyson | Nurse Practitioner | 1215 Lee St, Charlottesville, VA 22908-0816 | 2020-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568020410 | Alexis Evans | Physician Assistant | 1215 Lee St Nnicu, Charlottesville, VA 22908 | 2019-06-04 |
| 1649702317 | Ryan Aschenbrener | Student in an Organized Health Care Education/Training Program | 545 Ray C Hunt Drive Suite 2400, Charlottesville, VA 22908 | 2017-03-31 |
| 1215399241 | Katherine Gresham Belote | Student in an Organized Health Care Education/Training Program | 1221 Lee Street Uva Health System, Charlottesville, VA 22908 | 2016-03-29 |
| 1851776215 | Catherine Meller | Student in an Organized Health Care Education/Training Program | 1215 Lee St., Box 800713, Charlottesville, VA 22908 | 2015-07-28 |
| 1295112597 | Breanna Campbell | Internal Medicine | 1220 Lee St Ste 2401, Charlottesville, VA 22908 | 2015-05-06 |
| 1013255637 | Melinda Bowles-childress | Nurse Practitioner | 1 Hospital Dr Fl 1, Charlottesville, VA 22908 | 2013-01-17 |
| 1053521757 | Univeristy of Virginia Health System | General Acute Care Hospital | University of Virginia Health System, 1215 Lee Street, Chalrlottesville, VA 22908 | 2007-05-23 |
| 1730241282 | Imre Noth | Internal Medicine | 1221 Lee St Fl 2, Charlottesville, VA 22908 | 2006-12-14 |
| 1023185394 | Tamer Ghanem | Otolaryngology | Dept. Otolaryngology, University of Virginia, 1 Hospital Dr., 2nd Floor Oms Rm 2747, Charlottesville, VA 22908 | 2006-11-29 |
| 1366401242 | Lisa M Christianson | Obstetrics & Gynecology | Uva Elson Student Health Center, 400 Brandon Avenue, Charlottesville, VA 22908 | 2006-03-21 |
| Find all providers in zip 22908 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306075064 | Auh Whan Park | Radiology | Lee Sreet Fl 1, Charlottesville, VA 22908-0001 | 2009-07-02 |
| 1649690058 | Benjamin Neal Contrella | Radiology | 1215 Lee St, Charlottesville, VA 22908-0816 | 2014-04-24 |
| 1538319082 | Luke R. Wilkins | Radiology | Lee St Fl 1, Charlottesville, VA 22908-0001 | 2008-09-22 |
| 1245494467 | Michael A Abramson | Radiology | 1215 Lee St Fl 1, Charlottesville, VA 22908-4590 | 2008-07-16 |
| 1083826846 | James R Stone | Radiology | Lee St Fl 1, Charlottesville, VA 22908-0001 | 2007-05-04 |
| 1447309406 | Mark W. Anderson | Radiology | Uva Hospital, Lee Street, 1st Floor, Charlottesville, VA 22908-0001 | 2007-01-09 |
| 1609925007 | John F. Angle | Radiology | Uva Hospital, Lee Street, 1st Floor, Charlottesville, VA 22908-0001 | 2007-01-09 |
| 1750430070 | Klaus D. Hagspiel | Radiology | Uva Hospital, Lee Street, 1st Floor, Charlottesville, VA 22908-0001 | 2007-01-09 |
| 1467521096 | Patrick T. Norton | Radiology | 1215 Lee St, Charlottesville, VA 22908-0001 | 2006-11-07 |
| 1205914157 | Mary E Jensen | Radiology | 500 Martha Jefferson Dr Fl 4, Charlottesville, VA 22911-4668 | 2006-11-01 |
| Find all providers in CHARLOTTESVILLE | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22908 |
Please comment or provide details below to improve the information on DR. BRIAN GARDNER.
| 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.