Brandon Robert Beattie, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0110-005216 Issued in VA

Practice address

3833 Fairfax Dr Ste 400
Arlington, VA 22203-1774

Phone

(703) 908-0800

NPI assigned

Feb 1, 2016

Last updated

Sep 28, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: bbeattie19496@gwmfa.direct-ci.com

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

{
    "created_epoch": "1454284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1083072318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6355 WALKER LN",
            "address_2": "SUITE 313",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223103245",
            "telephone_number": "703-313-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3833 FAIRFAX DR STE 400",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222031774",
            "telephone_number": "703-908-0800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6355 Walker Ln",
            "address_2": "Suite 313",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223103245",
            "country_code": "US",
            "telephone_number": "703-313-9111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEATTIE",
        "first_name": "BRANDON",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-01",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110-005216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Beach, PA
• Jill Beadles
• Chidiki Bean-Jones
• Nasrin M Beard, NURSE PRACTITIONER
• Larissa Braga Beason
• Heather Marie Beauchamp, MA
• Lauren Beavers, APRN, BC
• Edward John Beck, D.C.
• Shirley A Beck, P.T.
• Frances Beckett-Ansa, PHARMD

• Medical Physician Assistant in Arlington, VA
• Providers in Arlington, VA by specialty
• Medical Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; 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.