Beach Kids Pediatrics PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

BEACH KIDS PEDIATRICS PLLC

Practice address

1856 Colonial Medical CT
Suite D
Virginia Beach, VA 23454-3075

Phone

(757) 806-8880

NPI assigned

Dec 7, 2010

Last updated

Feb 1, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bryan McDonaldNPI 1215098322

Title

Member

Phone

(757) 806-8880

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bryan McDonald, M.D.

  • Specialist
  • Virginia Beach, VA
  • NPI 1215098322
  NPD (past) Authorized official
• Anne K McDonald, M.D.

  • Pediatrics Physician
  • Virginia Beach, VA
  • NPI 1568546331

  Specialist

  NPD (past)

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

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296518400000",
    "number": "1255634648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1856 COLONIAL MEDICAL CT",
            "address_2": "SUITE D",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1856 COLONIAL MEDICAL CT",
            "address_2": "SUITE D",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543075",
            "telephone_number": "757-806-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACH KIDS PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-07",
        "last_updated": "2011-02-01",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "757-806-8880"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beach Eclinic LLC (Beach eClnic)
• Beach Eye Care, Inc.
• Beach Family Medicine, Inc.
• Beach Health Clinic,Inc.
• Beach Hearing
• Beach Life Counseling & Consulting Services, PLLC (Beach Life Counseling)
• Beach Life Nutrition LLC
• Beach Medical Group PC (Total Health Center)
• Beach Medical Group, PC (Total Health Center)
• Beach Medical Suppliers LLC

• Specialist in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; 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.