DR. BRYCHAN K.M. CLARK


Address: 130 Executive Center Pkwy, Mcguire Va Clinic Fredericksburg Cboc, Fredericksburg, VA 22401-3100
Phone: 5403704468

DR. BRYCHAN K.M. CLARK (NPI# 1497878961) 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) 1497878961
Entity Type Individual
Full Name DR. BRYCHAN K.M. CLARK
Credential M.D.
Practice Address 130 Executive Center Pkwy
Mcguire Va Clinic Fredericksburg Cboc
Fredericksburg
VA 22401-3100
Practice Telephone 5403704468
Practice Fax Number 5403706048
Mailing Telephone 5403704468
Mailing Fax Number 5403706048
Enumeration Date 2007-04-09
Last Update Date 2016-03-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RI0200X Internal Medicine
Specialization: Infectious Disease
ME 82925 FL Allopathic & Osteopathic Physicians

Office Location

Street Address 130 EXECUTIVE CENTER PKWY
MCGUIRE VA CLINIC FREDERICKSBURG CBOC
City FREDERICKSBURG
State VA
Zip Code 22401-3100

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659322659 Fu-yu Chiang Internal Medicine 130 Executive Center Pkwy, Fredericksburg, VA 22401-3100 2006-05-14
1558738807 Leslie Kolbig Pharmacist 130 Executive Center Pkwy, Fredericksburg, VA 22401-3100 2015-08-21
1447650627 Delisa Stanfill Showers Nurse Practitioner 130 Executive Center Pkwy, Hbpc, Fredericksburg, VA 22401-3100 2014-08-25
1225470065 Saundra Delphine Mercer Social Worker 130 Executive Center Pkwy, Fredericksburg, VA 22401-3100 2013-07-22
1396025698 Kelly Jensen Wade Psychologist 130 Executive Center Pkwy, Fredericksburg, VA 22401-3100 2011-08-18
1992090021 Sangil Park Psychiatry & Neurology 130 Executive Center Pkwy, Fredericksburg, VA 22401-3100 2011-06-16
1942226311 Dolores A Lindblom Counselor 130 Executive Center Pkwy, Fredericksburg, VA 22401-3100 2006-07-15
1023058591 Robert H Seamon Internal Medicine 130 Executive Center Pkwy, Fredericksburg, VA 22401-3100 2006-06-06
1093752099 Richmond Vamc Clinic/Center 130 Executive Center Pkwy, Fredericksburg, VA 22401-3100 2006-05-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992313415 Amanda Dodd Behavior Technician 1411 Princess Anne, Fredericksburg, VA 22401 2020-07-21
1215567326 Britteny Whitaker Behavior Technician 1411 Princess Ann, Fredericksburg, VA 22401 2020-01-17
1396389433 Ashley Stanevich Behavior Technician 1411 Princess Anne Lane, Fredericksburg, VA 22401 2019-11-01
1265074231 Anna Kelleher Behavior Technician 1411 Princess Anna St, Frericksburg, VA 22401 2019-10-11
1649824152 Zaan Z Ali Audiologist 1708 Fall Hill Ave Suite 100, Fredericksburg, VA 22401 2019-08-01
1790342426 Michael Williams Jr. Physician Assistant 411 B Park Hill Dr, Frederickburg, VA 22401 2019-05-29
1285290965 Ann Damalie Namabiro Behavior Technician 1411 Princess Ann Street, Fredericksburg, VA 22401 2019-05-17
1922579630 Primary and Urgent Care LLC Family Medicine Primary and Urgent Care LLC, 2306 Plank Road Ste 100, Fredericksburg, VA 22401 2018-12-07
1003323056 Mariah Mazzariello Behavior Technician 1411 Princess Anne Stree, Fredericksburg, VA 22401 2017-12-29
1336655281 Hina Zafar Behavior Technician 1411 Princess Anne St., Fredericksburg, VA 22401 2017-12-14
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Taxonomy Information

Taxonomy Code 207RI0200X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Infectious Disease

Taxonomy Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588980015 Spotsylvania Multi-specialty Group, LLC Internal Medicine 4604 Spotsylvania Parkway, Suite 200, Fredericksburg, VA 22408-7762 2010-04-08
1659322659 Fu-yu Chiang Internal Medicine 130 Executive Center Pkwy, Fredericksburg, VA 22401-3100 2006-05-14
1780889337 Florence Tchouaffi-nana Internal Medicine 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 2007-06-15
1548327448 Fredericksburg Infectious Disease Internal Medicine 521 Park Hill Dr, Fredericksburg, VA 22401-3377 2007-01-02
1720165277 Awol Y. Ali Internal Medicine 1101 Sam Perry Blvd, Fredericksburg, VA 22401-4467 2006-11-01
1194777946 Norman Bernstein Internal Medicine 1101 Sam Perry Blvd, Suite 307, Fredericksburg, VA 22401-4467 2006-05-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1952812364 Virginia Id Doctors LLC Internal Medicine 4437 Brookfield Corporate Dr Ste 101, Chantilly, VA 20151-2122 2017-10-12
1841749272 Lawrence Daniel Mullany Internal Medicine 12272 Declaration Ave, Chester, VA 23836-3057 2016-09-27
1790172724 Sana Attar Internal Medicine 8220 Meadowbridge Rd Ste 203, Mechanicsville, VA 23116-2339 2015-04-16
1811395205 W. Robert Lange Internal Medicine 835 Gangplank Rd Unit 110, Moneta, VA 24121-2499 2014-12-17
1063835304 Juan Weiss Internal Medicine 9335 Amaryllis Ave., Manassas, VA 20110 2014-01-22
1104165034 Derek Thomas Larson Internal Medicine 133 Green Meadow Dr, Portsmouth, VA 23701-1522 2013-02-13
1023361086 Valerie Riddle Internal Medicine 185 Tara Woods Dr, Bumpass, VA 23024-4934 2012-10-16
1053676858 Mir Akbar Ali Internal Medicine 4720 Puddledock Rd Ste 120, Prince George, VA 23875-1275 2012-07-08
1841560273 Donald Gray Heppner Jr. Internal Medicine 1041 Half Mile Branch Rd, Crozet, VA 22932-3306 2012-01-02
1790075901 Jillian Eileen Raybould Internal Medicine 1000 E Marshall St, Vmi Building, Suite 2015, Richmond, VA 23298-1901 2011-04-10
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Competitor

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City FREDERICKSBURG
Zip Code 22401

Improve Information

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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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