Active NPI
Brianna Michalosky Couch, MD
- Pediatrics Physician
- Glen Allen, VA
National Provider Identifier
1982813200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0101245851
- Practice address
- 10571 Telegraph Rd
Suite 110
Glen Allen, VA 23059-4652 - Phone
- (804) 545-5067
- NPI assigned
- May 22, 2007
- Last updated
- Jan 5, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 0116018357 | VA | |
| Pediatrics Physician | 208000000X | 0101245851 | VA | Primary |
Addresses
Primary practice location
10571 Telegraph Rd
Suite 110
Glen Allen, VA 23059-4652
Mailing address
10571 Telegraph Rd
Suite
Glen Allen, VA 23059-4652
Phone (804) 545-5067
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101245851 | VA | MD | Pediatrics Physician |
| 0116018357 | VA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatrics, Inc. | Pediatrics | Past | Accepting new patients |
| Pediatrics, Inc | Past | Accepting new patients |
Interoperability endpoints
- briannacouch@tpc.allscriptsdirect.net
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325721600000",
"number": "1982813200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10571 TELEGRAPH RD",
"address_2": "SUITE",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230594652",
"telephone_number": "804-545-5067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10571 TELEGRAPH RD",
"address_2": "SUITE 110",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230594652",
"telephone_number": "804-545-5067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COUCH",
"first_name": "BRIANNA",
"middle_name": "MICHALOSKY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2012-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "VA",
"license": "0116018357",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101245851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Allen, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.