Active NPI
Stephen Marcus Brick Jr., RD, MS
- Registered Dietitian
- Manassas, VA
National Provider Identifier
1841012309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86378969
- Practice address
- 8700 Sudley Rd
Manassas, VA 20110-4418 - Phone
- (703) 369-8000
- NPI assigned
- Oct 28, 2024
- Last updated
- Oct 28, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86378969 | VA | Primary |
Addresses
Primary practice location
8700 Sudley Rd
Manassas, VA 20110-4418
Mailing address
8383 Jovin Cir
Springfield, VA 22153-4014
Phone (870) 514-1671
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86378969 | VA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730073600000",
"number": "1841012309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8383 JOVIN CIR",
"city": "SPRINGFIELD",
"state": "VA",
"postal_code": "221534014",
"telephone_number": "870-514-1671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8700 SUDLEY RD",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201104418",
"telephone_number": "703-369-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRICK",
"first_name": "STEPHEN",
"middle_name": "MARCUS",
"name_suffix": "Jr.",
"credential": "RD, MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-10-28",
"last_updated": "2024-10-28",
"certification_date": "2024-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "VA",
"license": "86378969",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manassas, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.