Individual
MARK E. BRYNGELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
147 GARRISONVILLE RD, STAFFORD, VA 22554-1523
(540) 720-6000
(540) 288-1913
Mailing address
147 GARRISONVILLE RD, STAFFORD, VA 22554-1523
(540) 720-6000
(540) 288-1913
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
010400199
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508133323
MEDICARE NPI
—
01
—
54-1671414
TAX ID
VA
Enumeration date
07/02/2006
Last updated
11/04/2024
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