DR. CANDACE VICTORIA BRYAN (NPI# 1376750133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376750133 |
| Entity Type | Individual |
| Full Name | DR. CANDACE VICTORIA BRYAN |
| Credential | M.D. |
| Practice Address |
3020 Hamaker Ct Suite #400 Fairfax VA 22031-2238 |
| Practice Telephone | 7038760800 |
| Practice Fax Number | 7038760866 |
| Mailing Telephone | 7038760800 |
| Mailing Fax Number | 7038760866 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2009-12-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
010124056 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1376750133 | 05 |
| Street Address |
3020 HAMAKER CT SUITE #400 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22031-2238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912900598 | Joann Pfundstein | Internal Medicine | 3020 Hamaker Ct, Suite B102, Fairfax, VA 22031-2238 | 2005-05-27 |
| 1689128407 | Susan Ammerman | Psychologist | 3020 Hamaker Ct, Suite 103, Fairfax, VA 22031-2238 | 2016-08-10 |
| 1962857318 | Joann Pfundstein, Md, LLC | Clinic/Center | 3020 Hamaker Ct, Suite B102, Fairfax, VA 22031-2238 | 2016-05-03 |
| 1962876565 | Janet Cartwright-smith | Speech-Language Pathologist | 3020 Hamaker Ct, Fairfax, VA 22031-2238 | 2015-11-19 |
| 1700126000 | Shannon Eickhoff | Physician Assistant | 3020 Hamaker Ct, Suite 200, Fairfax, VA 22031-2238 | 2013-02-22 |
| 1104163542 | Fairfax Arrhythmia, Pllc | Internal Medicine | 3020 Hamaker Ct, Suite 401, Fairfax, VA 22031-2238 | 2013-01-04 |
| 1063765154 | Janet Elizabeth Black | Behavioral Analyst | 3020 Hamaker Ct, Suite 200, Fairfax, VA 22031-2238 | 2012-10-26 |
| 1891058921 | Lonny Nodelman | Podiatrist | 3020 Hamaker Ct, 201, Fairfax, VA 22031-2238 | 2012-06-22 |
| 1932468162 | Maria Olivia A Ricci | Nurse Practitioner | 3020 Hamaker Ct, Suite 502, Fairfax, VA 22031-2238 | 2012-05-08 |
| 1790061091 | Meagan Aileen Adamson | Nurse Practitioner | 3020 Hamaker Ct, Suite 400, Fairfax, VA 22031-2238 | 2011-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902414105 | Su Jung Kang | Dentist | 9661-c Main Street, Fairfax, VA 22031 | 2020-07-14 |
| 1346896347 | Fuling Guo | Acupuncturist | 3013 James St, Fairfax, VA 22031 | 2019-08-15 |
| 1902458797 | Kayla Callister | Psychologist | 2270 Willow Oaks Corporate Drive, Fairfax, VA 22031 | 2019-07-11 |
| 1790349801 | Fairfax Dental Esthetics | Dentist | 9621 Fairfax Blvd., Fairfax, VA 22031 | 2019-04-24 |
| 1417427675 | Kathryn Yen Ho | Speech-Language Pathologist | 8270 Willow Oaks Corporate Drive Suite 2127, Falls Church, VA 22031 | 2018-11-30 |
| 1932681376 | Joanne Towers | Physician Assistant | 3025 Hamaker Court Suite 300, Fairfax, VA 22031 | 2018-09-01 |
| 1790262020 | S Renee Dennis | Nurse Practitioner | 8316 Arlington Blvd Ste 500, Fairfax, VA 22031 | 2018-07-19 |
| 1013493451 | Elizabeth Joan Dwyer | Physician Assistant | 3023 Hamaker Ct., Suite 500, Fairfax, VA 22031 | 2018-07-18 |
| 1316432669 | Delta Pharm LLC | Pharmacy | 8316 Arlington Blvd Ste 100, Fairfax, VA 22031 | 2018-06-28 |
| 1629567656 | Laura Breeden | Acupuncturist | 3846 Lyndhurst Dr Apt 301, Fairfax, Va, VA 22031 | 2018-05-04 |
| Find all providers in zip 22031 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669976221 | Fairfax Family Life Behavioral Health, LLC | Psychiatry & Neurology | Fairfaxpark Office Plaza, 9512 B Lee Highway, Fairfax, VA 22031 | 2018-03-20 |
| 1821599234 | John H. Seok, M.d., P.C. | Psychiatry & Neurology | 3919 Old Lee Hwy Ste 81a, Fairfax, VA 22030-2430 | 2018-02-22 |
| 1124414164 | Richard Monti Jr. | Psychiatry & Neurology | 3020 Hamaker Ct Ste 400, Fairfax, VA 22031-2231 | 2015-04-07 |
| 1609293562 | Hannah Walters | Psychiatry & Neurology | 3580 Joseph Siewick Dr Ste 206, Fairfax, VA 22033-1764 | 2014-03-27 |
| 1447446059 | Roger A Snyder Md | Psychiatry & Neurology | 8303 Arlington Blvd Ste 202, Fairfax, VA 22031 | 2007-09-18 |
| 1104300300 | Nova Neurosciences LLC | Psychiatry & Neurology | 3022 Williams Dr Ste 100, Fairfax, VA 22031-4600 | 2018-09-24 |
| 1851725345 | Neurology and Sleep Care of Northern Virginia,p.c. | Psychiatry & Neurology | 8316 Arlington Blvd Ste 650, Fairfax, VA 22031-5216 | 2013-09-03 |
| 1881868123 | Hilary Newgen | Psychiatry & Neurology | 12011 Lee-jackson Memorial Highway, Penderbrook Medical Center, Fairfax, VA 22033-3310 | 2008-04-17 |
| 1538352430 | Randolph R Stephenson | Psychiatry & Neurology | 3020 Hamaker Ct, Suite 400, Fairfax, VA 22031-2238 | 2007-08-23 |
| 1235335993 | Matthew Robert Churchill | Psychiatry & Neurology | 3020 Hamaker Ct, Suite 400, Fairfax, VA 22031-2238 | 2007-06-21 |
| Find all providers in FAIRFAX | ||||
Please comment or provide details below to improve the information on DR. CANDACE VICTORIA BRYAN.
| 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.