Bryan Wallace McEachern, M.D., F.A.A.P.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0101051497 Issued in VA

Practice address

9001 Digges Rd
Suite 106
Manassas, VA 20110-4421

Phone

(703) 392-5437

Fax

(703) 392-0176

NPI assigned

Mar 10, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JAJGBD/Endpoint/JAJGBD

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.

• Children'S Health Care Center of Nova

  • Pediatrics Physician
  • Manassas, VA
  • NPI 1982859484
  NPD (past) Authorized official

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295308800000",
    "number": "1275501736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 DIGGES RD",
            "address_2": "SUITE 106",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104421",
            "telephone_number": "703-392-5437",
            "fax_number": "703-392-0176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 DIGGES RD",
            "address_2": "SUITE 106",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104421",
            "telephone_number": "703-392-5437",
            "fax_number": "703-392-0176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCEACHERN",
        "first_name": "BRYAN",
        "middle_name": "WALLACE",
        "credential": "M.D., F.A.A.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2011-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101051497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006724264",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justine McDermott, AUD
• Therese McDermott, LCSW
• Adrienne McDonald, LPC
• Angus McDonald
• Bailie McDougall
• Kiley Shaye McGee
• Richelle Lynn McGettigan, PA
• William George McGlothlin, MD
• Crystal Ann McGovern, N.P.
• Emily Ann McGrath

• Pediatrics Physician in Manassas, VA
• Providers in Manassas, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.