Brian Egan, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

0101039522 Issued in VA

Practice address

6845 Elm Street
Suite 611
McLean, VA 22101-3822

Phone

(703) 956-6880

Fax

(703) 893-7336

NPI assigned

Nov 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220572800000",
    "number": "1164598470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6845 ELM STREET",
            "address_2": "SUITE 611",
            "city": "MCLEAN",
            "state": "VA",
            "postal_code": "221013822",
            "telephone_number": "703-956-6880",
            "fax_number": "703-893-7336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6845 ELM STREET",
            "address_2": "SUITE 611",
            "city": "MCLEAN",
            "state": "VA",
            "postal_code": "221013822",
            "telephone_number": "703-956-6880",
            "fax_number": "703-893-7336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGAN",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2008-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D33736",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101039522",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "DC",
            "license": "MD13798",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164598470",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mohammad Reza Didehvar, MD
• Roberta Mae Dittmer
• Christy Dixon
• Dr. Wendy C Garson, P.C.
• Edmonds Optician of McLean Inc.
• Nasrin Ejtemaee, M.D.
• John Robert Eklund, RPH
• Lisa O. Elkin, PSY.D.
• Neda Etessam, DDS
• Ilene R. Evanter, L.C.S.N., B.C.D.

• Ophthalmology Physician in McLean, VA
• Providers in McLean, VA by specialty
• Ophthalmology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.