Provider Demographics
NPI:1437267853
Name:HESS, BRIAN GARY (DC)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:GARY
Last Name:HESS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:966 BARROW LN
Mailing Address - Street 2:
Mailing Address - City:STANARDSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22973-2121
Mailing Address - Country:US
Mailing Address - Phone:434-990-0109
Mailing Address - Fax:540-825-9377
Practice Address - Street 1:201 SOUTHGATE SHOPPING CTR
Practice Address - Street 2:
Practice Address - City:CULPEPER
Practice Address - State:VA
Practice Address - Zip Code:22701-3833
Practice Address - Country:US
Practice Address - Phone:540-825-6445
Practice Address - Fax:540-825-9377
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104002088111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAU76132Medicare UPIN