# BRIAN DENA DO LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790351377
- **Authorized official:** BRIAN M DENA DO (OWNER)
- **Authorized official phone:** (210) 845-6576

## Contact information

- **Practice address:** 95 MEDICAL PARK BLVD, PETERSBURG, VA 23805-9280
- **Practice address phone:** (210) 845-6576
- **Mailing address:** PO BOX 11768, RICHMOND, VA 23230-0168
- **Mailing address phone:** (804) 353-4000
- **Mailing address fax:** (804) 213-9783

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/03/2021
- **Last updated:** 08/07/2025