Search › Virginia › 207Q00000X
Brian Dougherty, MB, BCH, BAO
NPI 1194091991 · on the registry since 2012
Practice
- Address
- 1562 Mitscher Ave Ste 250
Norfolk, VA 23551 - Phone
- (757) 443-3872
- Clinicians at this address
- 16
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 208600000X
390200000X - Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-11-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia