DR. BRIAN SCOTT MCNICHOLAS (NPI# 1437233483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437233483 |
Entity Type | Individual |
Full Name | DR. BRIAN SCOTT MCNICHOLAS |
Credential | D.C. |
Practice Address |
1712 Clubhouse Rd #102 Reston VA 20190-4595 |
Practice Telephone | 7034358805 |
Mailing Telephone | 7034358805 |
Enumeration Date | 2006-10-25 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
0104001891 | VA | Chiropractic Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | ANTHEM BCBS VIRGINIA | 333984 | 01 |
VA | AETNA PPO VIRGINIA | 5209702 | 01 |
VA | CAREFIRST BCBS | F743-0001 | 01 |
VA | CIGNA (PPO) VIRGINIA | 3441318-001 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487907408 | Brian Mcnicholas | Registered Nurse | 1200 Callowhill St Ste 101, Philadelphia, PA 19123-3658 | 2012-10-16 |
1578922902 | Brian Mcnicholas | Emergency Medicine | 667 Eastland Ave Se, St. Joseph Warren Hospital Emergency Dept, Warren, OH 44484-4503 | 2016-02-12 |
Street Address |
1712 CLUBHOUSE RD #102 |
City | RESTON |
State | VA |
Zip Code | 20190-4595 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568538627 | Sedar Cavit Ozturk | Dentist | 1712 Clubhouse Rd, Reston, VA 20190 | 2006-11-28 |
1699848002 | Brett Zacko Gurley | Dental Hygienist | 1712 Clubhouse Rd, Zacko and Assoc, Reston, VA 20190 | 2006-11-15 |
1073686499 | George Bernard Zacko | Dentist | 1712 Clubhouse Rd, Suite 106, Reston, VA 20190 | 2006-11-15 |
1730252156 | Mary Jane Catherine Korrigan | Dental Hygienist | 1712 Clubhouse Rd, Suite 106, Reston, VA 20190 | 2006-11-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912548470 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1906 Reston Metro Plaza, Suite 100, Reston, VA 20190 | 2019-10-04 |
1205483260 | Northern Virginia Applied Behavior Analysis, L.L.C. | Behavioral Analyst | 1984 Issac Newton Square West, Suite 204, Reston, VA 20190 | 2019-08-23 |
1336796481 | Sandra Chiunda | Nurse Practitioner | 11484 Washington Plaza W 3rd Floor, Reston, VA 20190 | 2019-08-23 |
1891357232 | Beyond Counseling, Inc. | Clinic/Center | 11250 Roger Bacon Dr., Atrium 5, Reston, VA 20190 | 2019-07-06 |
1003470063 | Sarah Katharina Jungnitsch | Registered Nurse | Reston Anesthesia Associates, 11341 Sunset Hills Road, Reston, VA 20190 | 2019-04-25 |
1194202341 | May Health Care Services Inc | Home Health | 12110 Sunset Hills Road Suite 600, Reston, VA 20190 | 2018-07-20 |
1245739895 | Carlee B. Genung | Physician Assistant | 1760 Reston Parkway Suite 306, Reston, VA 20190 | 2018-02-09 |
1760901045 | Kristen Kelly | Dietitian, Registered | 11703 Bowman Green Drive, Lower Level, Reston, VA 20190 | 2017-09-18 |
1245778992 | Sarah Christine Bernstein | Occupational Therapist | 1860 Town Center Drive Ste, Suite 300, Reston, VA 20190 | 2017-02-02 |
1023495298 | Phillip Nguyen | Dentist | 1800 Town Center Dr Ste 116, Reston, VA 20190 | 2015-04-27 |
Find all providers in zip 20190 |
Taxonomy Code | 111NS0005X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
Specialization | Sports Physician |
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639242779 | Neil Patrick Mclaughlin | Chiropractor | 11319 Sunset Hills Rd, Reston, VA 20190-5205 | 2006-11-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194281527 | Cpcj Inc | Chiropractor | 4628 Portsmouth Blvd Ste 100, Chesapeake, VA 23321-2106 | 2019-02-11 |
1528483229 | Dynamic Rehab and Spine, LLC | Chiropractor | 2380 Plank Rd, A, Fredericksuburg, VA 22401 | 2014-03-04 |
1043527989 | Virginia Health Solutions, Inc. | Chiropractor | 815 Middle Ground Blvd, Inside Onelife Fitness, Newport News, VA 23606-4209 | 2010-09-13 |
1609182088 | Manassas Spine & Sport PC | Chiropractor | 9210 Lee Ave, Manassas, VA 20110-5513 | 2010-08-24 |
1427383835 | Thomas Edward Nonnenmacher | Chiropractor | 9986 Spotswood Trl, Mcgaheysville, VA 22840-2421 | 2009-10-03 |
1669629085 | Back In Action Chiropractic Center, P.C. | Chiropractor | 4911 Augusta Ave, Richmond, VA 23230-3601 | 2008-08-27 |
1962626838 | Douglas Owen Nagel | Chiropractor | 46960 Cedar Lake Plz, Suite 150, Sterling, VA 20164-8657 | 2007-04-12 |
1285787150 | Hirad Najafbagy | Chiropractor | 905 Herndon Pkwy, Suite B, Herndon, VA 20170-5536 | 2007-01-22 |
1730231101 | Leanne Fink | Chiropractor | 15b Loudoun St Sw, Leesburg, VA 20175-2908 | 2007-01-17 |
1407911316 | Stephen M Erle | Chiropractor | 2380a Plank Rd, Ste A, Fredericksburg, VA 22401-4927 | 2006-12-22 |
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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.