Brian Fitzgerald, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104557271 Issued in VA

Practice address

8381 Old Courthouse Rd Ste 150
Vienna, VA 22182-3830

Phone

(703) 760-8110

NPI assigned

Oct 6, 2015

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

Enrolled in DC

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2015

Medicare assignment

May accept Medicare assignment

Group practices

Collaborative HealingGroup PAC ID 3375045149, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Collaborative Healing

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clinton, MD
  • NPI 1023872850

  Chiropractor, DC

  Medicare reassignment Care Compare group NPD
• Fitzgerald Spine and Sports Care PC

  • Chiropractor
  • Tysons Corner, VA
  • NPI 1467085456
  Authorized official Same address or phone
• Bodnar Chiropractic Center Inc

  • Chiropractor
  • Alexandria, VA
  • NPI 1437322682
  NPD (past)

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

{
    "created_epoch": "1444089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1346610144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8381 OLD COURTHOUSE RD STE 150",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823830",
            "telephone_number": "703-760-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8381 OLD COURTHOUSE RD STE 150",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823830",
            "telephone_number": "703-760-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "BRIAN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-06",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Five Mountains LLC
• Michelle Flanagan Moore
• Amanda Flick
• Amy Ford
• Forefront ASC LLC

• Chiropractor in Vienna, VA
• Providers in Vienna, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.