DR. BRYAN ANTHONY MCKENZIE (NPI# 1699730515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699730515 |
| Entity Type | Individual |
| Full Name | DR. BRYAN ANTHONY MCKENZIE |
| Credential | M.D. |
| Practice Address |
8316 Arlington Blvd Suite 300 Fairfax VA 22031-5207 |
| Mailing Address |
3801 University Dr # 200 Fairfax VA 22030-2503 |
| Practice Telephone | 7035737600 |
| Practice Fax Number | 7035603808 |
| Mailing Telephone | 7035737600 |
| Mailing Fax Number | 7035603808 |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2018-12-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Y00000X | Otolaryngology | 0101055139 | VA | Allopathic & Osteopathic Physicians |
| Y | 207YX0901X |
Otolaryngology Specialization: Otology & Neurotology |
0101055139 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAREFIRST ID# | 0010 | 01 | |
| VA | STATE LICENSE # | 0101055139 | 01 |
| VA | 006501362 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366057309 | Bryan Mckenzie | Physician Assistant | 222 Se 8th Ave Ste 551, Hillsboro, OR 97123-4218 | 2020-09-15 |
| Street Address |
8316 ARLINGTON BLVD SUITE 300 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22031-5207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396744355 | Jennifer Ann Quintanilla | Physical Therapist | 8316 Arlington Blvd, Suite 600, Fairfax, VA 22031-5207 | 2005-07-20 |
| 1275179137 | Amelia Ellen Pitha | Nurse Practitioner | 8316 Arlington Blvd, Fairfax, VA 22031-5207 | 2019-11-25 |
| 1508367517 | Eric Scarton | Physical Therapy Assistant | 8316 Arlington Blvd, Fairfax, VA 22031-5207 | 2018-02-24 |
| 1073986568 | Fairfaxdentalgroup | Dentist | 8316 Arlington Blvd, Fairfax, VA 22031-5207 | 2015-11-05 |
| 1093194300 | Mira Wahba | Physical Therapist | 8316 Arlington Blvd, Suite 600, Fairfax, VA 22031-5207 | 2015-05-20 |
| 1568840957 | Alliance Rehab and Physical Therapy LLC | Physical Therapist | 8316 Arlington Blvd, #600, Fairfax, VA 22031-5207 | 2015-05-18 |
| 1861889008 | Loudoun Medical Group PC | Ophthalmology | 8316 Arlington Blvd, Suite 235, Fairfax, VA 22031-5207 | 2015-04-24 |
| 1023405297 | Bluemont Plastic Surgery, PC | Otolaryngology | 8316 Arlington Blvd, Ste 410, Fairfax, VA 22031-5207 | 2015-04-24 |
| 1649517830 | Megan Goetz | Physical Therapist | 8316 Arlington Blvd, Suite 600, Fairfax, VA 22031-5207 | 2013-01-09 |
| 1104188978 | Kazumi Keener | Occupational Therapist | 8316 Arlington Blvd, Suite 600, Fairfax, VA 22031-5207 | 2012-06-08 |
| 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 | 207YX0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otology & Neurotology |
| An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326596479 | Washington Ear Associates Pllc | Otolaryngology | 1093 Bonnie View Dr, Great Falls, VA 22066-1821 | 2016-09-19 |
| 1841522430 | The Center for Dizziness and Balance Disorders, P.C. | Otolaryngology | 1524 Apperson Dr, Salem, VA 24153-7219 | 2010-02-05 |
| 1770509879 | Peter L Rigby | Otolaryngology | 161 Wadsworth Dr, Richmond, VA 23236-4500 | 2006-07-14 |
| 1740213891 | Theodore W. Fetter | Otolaryngology | 201 Park St Se, Vienna, VA 22180-4644 | 2006-07-09 |
Please comment or provide details below to improve the information on DR. BRYAN ANTHONY MCKENZIE.
| 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.