Brian Pandit Long, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0101258313 Issued in VA

Practice address

6303 Little River Tpke Ste 300
Alexandria, VA 22312

Phone

(703) 914-8989

Fax

(703) 914-5494

NPI assigned

May 1, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

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.

• Children's Medical Associates of Northern Virginia, P.C.

  • Pediatrics Physician
  • Alexandria, VA
  • NPI 1255450722
  NPD (past)

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

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534896000000",
    "number": "1629336276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6303 LITTLE RIVER TPKE STE 300",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223125045",
            "telephone_number": "703-914-8989",
            "fax_number": "703-914-5494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6303 LITTLE RIVER TPKE STE 300",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "22312",
            "telephone_number": "703-914-8989",
            "fax_number": "703-914-5494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10615 Braddock Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220322265",
            "country_code": "US",
            "telephone_number": "703-691-4700",
            "fax_number": "703-691-4791",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Michigan Ave NW",
            "address_2": "W3.5, 600",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200102916",
            "country_code": "US",
            "telephone_number": "202-476-3670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONG",
        "first_name": "BRIAN",
        "middle_name": "PANDIT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-01",
        "last_updated": "2018-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101258313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Marie Lokitis, D.D.S.
• Alexus Lomack
• Angela Lomax
• Long-Term Acute Care Hospital of Northern Virginia LLC (Inova Specialty Hospital)
• Long-Term Acute Care Hospital of Northern Virginia LLC (Inova Specialty Hospital)
• Clio Long, PSY.D.
• Destiny Renea Long
• Kaylyn Long
• Kelly A Long, PT
• Leanne J Long, LPC, NCC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; 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.