Healthcare Provider Details
I. General information
NPI: 1598462152
Provider Name (Legal Business Name): RACHEL BRINKERHOFF PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/14/2023
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6161 KEMPSVILLE CIR STE 315
NORFOLK VA
23502-3935
US
IV. Provider business mailing address
6161 KEMPSVILLE CIR STE 315
NORFOLK VA
23502-3935
US
V. Phone/Fax
- Phone: 757-461-5400
- Fax: 757-461-3305
- Phone: 757-461-5400
- Fax: 757-461-3305
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363A00000X |
| Taxonomy | Physician Assistant |
| License Number | 0110011124 |
| License Number State | VA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363AM0700X |
| Taxonomy | Medical Physician Assistant |
| License Number | PA9116756 |
| License Number State | FL |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363A00000X |
| Taxonomy | Physician Assistant |
| License Number | PA9116756 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: