Provider Demographics
NPI:1740505064
Name:BECHT, BRIANNE R (PA-C)
Entity type:Individual
Prefix:
First Name:BRIANNE
Middle Name:R
Last Name:BECHT
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 DUMBARTON RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23228-6014
Mailing Address - Country:US
Mailing Address - Phone:804-874-7949
Mailing Address - Fax:
Practice Address - Street 1:2900 SABRE ST STE 303
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-7373
Practice Address - Country:US
Practice Address - Phone:757-222-0300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-30
Last Update Date:2019-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0110003879363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant