Organization Active NPI

Braner Clinic, Inc

  • Specialist
  • Falls Church, VA
National Provider Identifier
1083024418
Registry record updated Dec 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1447679 Issued in VA
Legal business name
BRANER CLINIC, INC
Practice address
2841 Hartland Rd
Suite 207
Falls Church, VA 22043-3500
Phone
(703) 573-1282
Fax
(703) 573-1284
NPI assigned
May 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Donna Richards
Title
Billing Manager
Phone
(910) 985-0324

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 1447679 VA Primary

Addresses

Primary practice location

2841 Hartland Rd
Suite 207
Falls Church, VA 22043-3500

Mailing address

2841 Hartland Rd
207
Falls Church, VA 22043-3500
Phone (703) 573-1282

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1399420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418083200000",
    "number": "1083024418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2841 HARTLAND RD",
            "address_2": "207",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220433500",
            "telephone_number": "703-573-1282",
            "fax_number": "703-573-1284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2841 HARTLAND RD",
            "address_2": "SUITE 207",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220433500",
            "telephone_number": "703-573-1282",
            "fax_number": "703-573-1284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANER CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-07",
        "last_updated": "2014-12-09",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "910-985-0324"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "1447679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.