Active NPI
Bryan Asher Kornreich, MD
- Pediatrics Physician
- Winchester, VA
National Provider Identifier
1124040522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0101057125
- Practice address
- 1002 Amherst St
BLDG C
Winchester, VA 22601-3323 - Phone
- (540) 662-3853
- Fax
- (540) 662-0336
- NPI assigned
- Jul 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0101057125 | VA | Primary |
Addresses
Primary practice location
1002 Amherst St
BLDG C
Winchester, VA 22601-3323
Mailing address
1002 Amherst St
BLDG C
Winchester, VA 22601-3323
Phone (540) 662-3853
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 284240 | Other | VA | ANTHEM |
| 0212025000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101057125 | VA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Associates of Winchester | Pediatrics | Past | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Interoperability endpoints
- bkornreich123909@valleyhealth.direct-ci.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124040522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1002 AMHERST ST",
"address_2": "BLDG C",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226013323",
"telephone_number": "540-662-3853",
"fax_number": "540-662-0336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 AMHERST ST",
"address_2": "BLDG C",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226013323",
"telephone_number": "540-662-3853",
"fax_number": "540-662-0336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORNREICH",
"first_name": "BRYAN",
"middle_name": "ASHER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101057125",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "284240",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0212025000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Winchester, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.