MR. BRIAN JOSEPH KENNERLEY


Address: U. S. Marine Corps Forces Command, 1775 Forrestal Drive Bldg 33, Norfolk, VA 23511
Phone: 9197490228

MR. BRIAN JOSEPH KENNERLEY (NPI# 1871867747) 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) 1871867747
Entity Type Individual
Full Name MR. BRIAN JOSEPH KENNERLEY
Credential MD
Practice Address U. S. Marine Corps Forces Command
1775 Forrestal Drive Bldg 33
Norfolk
VA 23511
Mailing Address 106 Little Bay Dr
Swansboro
NC 28584-7800
Practice Telephone 9197490228
Mailing Telephone 9197490228
Enumeration Date 2012-02-23
Last Update Date 2020-09-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery 0101254507 VA Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
620 John Paul Jones Cir, Portsmouth, VA 237082111 7579532518

Office Location

Street Address U. S. MARINE CORPS FORCES COMMAND
1775 FORRESTAL DRIVE BLDG 33
City NORFOLK
State VA
Zip Code 23511

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215591888 Nash Richard Galvan Military Health Care Provider 456-462 Pocahontas St, Norfolk, VA 23511 2019-04-29
1578059481 Hillary Anne Diffee Dentist Navsta Norfolk Sewells Point Branch Clinic, 1647 Admiral Taussig Blvd, Norfolk, VA 23511 2018-07-03
1154860237 Alexander Blau General Practice 1751 Morris Street, Comnavsurflant - Medical Readiness Division, Norfolk, VA 23511 2017-02-22
1205188307 Agnes Bautista Banias Dental Hygienist 1647 Admiral Taussig Blvd Br Health Clinic, Naval Medical Center Portsmouth, Norfolk, VA 23511 2012-10-12
1891052676 Conor Francis Hynes Surgery 1530 Gilbert St Ste 2000, Norfolk, VA 23511 2012-04-18
1053629964 Shawnly Heath Ward Military Health Care Provider Surface Warfare Medical Institute - East, 459 Bellinger Blvd, Norfolk, VA 23511 2010-09-14
1225351760 Jocelyn Martinezdelgado Military Health Care Provider 8857 1st Street, Pcu Jason Dunham Suite 400, Norfolk, VA 23511 2010-03-11
1245480854 Vanessa O Hofilena Dentist 1647 Admiral Taussig Boulevard, Naval Medical Center Portsmouth - Dental Center, Norfolk, VA 23511 2008-09-19
1780833954 Cecilia M Brownblake Dentist 1647 Admiral Taussig Blvd., Norfolk, VA 23511 2008-09-12
1508020488 Jeffrey L Hockett Dentist Bdc Norfolk, Dept. of Endodontics, 1647 Admiral Taussig Blvd., Norfolk, VA 23511 2008-07-10
Find all providers in zip 23511

Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255728374 Malinda Lyon Surgery 8150 Shore Drive, #522, Norfolk, VA 23518 2015-04-16
1336567601 Ryan Carver Surgery 880 Kempsville Rd Ste 1000, Norfolk, VA 23502-3978 2014-04-02
1891052676 Conor Francis Hynes Surgery 1530 Gilbert St Ste 2000, Norfolk, VA 23511 2012-04-18
1144590779 Edward Albert Pollard Surgery 17 Lois Ln, Norfolk, MA 02056-1823 2012-01-12
1164683009 Stephanie K Repole Surgery 155 Kingsley Ln Ste 405, Norfolk, VA 23505-4629 2008-06-23
1639277544 Alan Harvey Jaffe Surgery 160 Kingsley Ln Ste 205, Norfolk, VA 23505-4600 2006-09-21
1437169042 Venkat Manoranjan Reddy Surgery 400 Gresham Drive, Suite 308, Norfolk, VA 23507 2006-08-08
1114931938 Thomas M Beutler Surgery 301 N 27th St, Suite 1, Norfolk, NE 68701-4457 2006-07-28
1699731901 Andrew Y Reynolds Surgery 301 N 27th St Ste 8, Norfolk, NE 68701-4457 2006-04-25
1942270624 Rachel A Burke Surgery 825 Fairfax Ave Ste 610, Norfolk, VA 23507 2006-01-25
Find all providers in NORFOLK

Competitor

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City NORFOLK
Zip Code 23511

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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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