Provider Demographics
NPI:1003182007
Name:LENING, CHRISTOPHER BRADLEY (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:BRADLEY
Last Name:LENING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:804 ARROW CIR
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-5914
Mailing Address - Country:US
Mailing Address - Phone:202-436-5741
Mailing Address - Fax:424-270-6211
Practice Address - Street 1:20331 IRVINE AVE STE E2
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-0223
Practice Address - Country:US
Practice Address - Phone:949-228-9676
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-24
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2019-005622084N0400X
MDD854942084N0400X
DCMD200000222084N0400X
CAA1308162084N0400X
VA01012647102084N0600X, 2084N0400X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology