Healthcare Provider Details

I. General information

NPI: 1205571478
Provider Name (Legal Business Name): BRIANNA BURCHFIELD DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRIANNA LARSON DO

II. Dates (important events)

Enumeration Date: 05/03/2022
Last Update Date: 11/04/2025
Certification Date: 11/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

613 CAMPUS DR STE 200
ABINGDON VA
24210-9703
US

IV. Provider business mailing address

1021 W OAKLAND AVE STE 310
JOHNSON CITY TN
37604-2192
US

V. Phone/Fax

Practice location:
  • Phone: 276-628-1186
  • Fax: 276-628-8507
Mailing address:
  • Phone: 423-952-2111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0116036597
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: