Active NPI
Brian Luke Ciszewski, MD
- Student in an Organized Health Care Education/Training Program
- Portsmouth, VA
National Provider Identifier
1700715109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 620 John Paul Jones Cir
Portsmouth, VA 23708-2111 - Phone
- (757) 953-5008
- NPI assigned
- May 14, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Mailing address
4010 Evan Cir
Suffolk, VA 23435-1177
Phone (469) 744-6676
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778716800000",
"number": "1700715109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4010 EVAN CIR",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234351177",
"telephone_number": "469-744-6676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 JOHN PAUL JONES CIR",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237082111",
"telephone_number": "757-953-5008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CISZEWSKI",
"first_name": "BRIAN",
"middle_name": "LUKE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-05-14",
"last_updated": "2026-05-14",
"certification_date": "2026-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portsmouth, VA
- Churchland Physical Therapy Services, Inc
- Vincent A Ciarametaro, RPH
- Kyle Cichos
- David Alexander Cieremans, DO
- Cade Coleman Cinnamond, D.O.
- City of Portsmouth (Department of Behavioral Healthcare Services)
- City of Portsmouth (Portsmouth Fire Rescue & Emergency Services)
- CJ Counseling and Consulting Services, LLC
- Cjab & Cjab LLC (CJAB Family Services)
- Christopher D. Clagett, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.