Healthcare Provider Details

I. General information

NPI: 1699075440
Provider Name (Legal Business Name): BRIAN ANTONIO ASSENT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/27/2010
Last Update Date: 04/05/2022
Certification Date: 03/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2402 ATHERHOLT RD
LYNCHBURG VA
24501-2148
US

IV. Provider business mailing address

2402 ATHERHOLT RD
LYNCHBURG VA
24501-2148
US

V. Phone/Fax

Practice location:
  • Phone: 434-455-3275
  • Fax:
Mailing address:
  • Phone: 434-455-3275
  • Fax: 434-455-3275

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number57-018710
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number0101263895
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number35-123626
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: