Individual provider Active NPI

Brittany Lynn Oates, PA-C

  • Physician Assistant
  • Reston, VA
National Provider Identifier
1962787044
Registry record updated Jul 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110004202 Issued in VA
Practice address
1850 Town Center Pkwy
Suite 400
Reston, VA 20190-3219
Phone
(703) 810-5202
Fax
(703) 810-5420
NPI assigned
Oct 20, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 10001349A IN
Physician Assistant 363A00000X 0110004202 VA Primary

Addresses

Primary practice location

1850 Town Center Pkwy
Suite 400
Reston, VA 20190-3219

Mailing address

PO Box 75420
Baltimore, MD 21275-5420
Phone (703) 383-6469

Other names 1

  • Brittany L Banic Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250121000645 IL Practitioner - Physician Assistant 3779757984 Reassigns benefits to 1 organization
I20250320001591 MO Practitioner - Physician Assistant 3779757984 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Access Urgent Care PCGroup PAC ID 8820171929, 130 clinicians
Tauc Il PCGroup PAC ID 3173060282, 17 clinicians

Practice addresses (Care Compare)

1005 S Big Bend Blvd
Saint Louis, MO 63117-1605
Phone (314) 961-2255

1090 N Hwy 67 St
Florissant, MO 63031-4720
Phone (314) 961-2255

1103 Central Park Dr
O Fallon, IL 62269-1770
Phone (618) 215-5703

12409 Saint Charles Rock Rd
Bridgeton, MO 63044-2507
Phone (314) 961-2255

2060 Hampton Ave
Saint Louis, MO 63139-2903
Phone (314) 961-2255

3114 S Grand Blvd
Saint Louis, MO 63118-1012
Phone (314) 961-2255

3909 Mexico Rd
Saint Peters, MO 63376-6408
Phone (314) 961-2255

400 Beltline Rd
Collinsville, IL 62234-4405
Phone (618) 215-5703

4318 Loughborough Ave
Saint Louis, MO 63116-2104
Phone (314) 961-2255

6900 Chippewa St
Saint Louis, MO 63109-3038
Phone (314) 961-2255

7816 Big Bend Blvd
Webster Groves, MO 63119-2702
Phone (314) 961-2255

8213 Delmar Blvd
Saint Louis, MO 63124-2104
Phone (314) 961-2255

8961 Page Ave
Overland, MO 63114-6104
Phone (314) 961-2255

9538 Gravois Rd
Affton, MO 63123-4558
Phone (314) 961-2255

9556 Manchester Rd
Saint Louis, MO 63119-1313
Phone (314) 961-2255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110004202VAMDPhysician Assistant
10001349AINMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Total Access Urgent Care, PC CurrentSince Mar 10, 2025 Accepting new patients
Total Access Urgent Care, PC CurrentSince Mar 10, 2025 Accepting new patients
Commonwealth Orthopaedics & Rehabilitation, PC Past Accepting new patients

Locations

400 Belt Line Rd
Collinsville, IL 62234
Phone (618) 215-5703

1103 Central Park Dr
O Fallon, IL 62269
Phone (618) 215-5703

9556 Manchester Rd
Saint Louis, MO 63119
Phone (314) 373-5740

1717 Madison Ave
Washington, MO 63090
Phone (636) 244-6950

13861 Manchester Rd
Wildwood, MO 63011
Phone (636) 220-9333

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1319068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436140800000",
    "number": "1962787044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 75420",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212755420",
            "telephone_number": "703-383-6469",
            "fax_number": "703-385-1062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 TOWN CENTER PKWY",
            "address_2": "SUITE 400",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903219",
            "telephone_number": "703-810-5202",
            "fax_number": "703-810-5420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OATES",
        "first_name": "BRITTANY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-20",
        "last_updated": "2015-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "IN",
            "license": "10001349A",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110004202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "BANIC",
            "middle_name": "L",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Reston, VA

Sources for this page

Verify at the official NPI Registry.