MEDICARE: BRIAN REON M.D., PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	0101279255	VA
2	207LP2900X	Pain Medicine (Anesthesiology) Physician	0101279255	VA

General Provider Information

NPI Number	:	1063078921
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIAN REON M.D., PH.D.

Provider Business Mailing Address
First Line	:	PO BOX 9007
Second Line	:
City	:	CHARLOTTESVILLE
State	:	VA
Zip	:	22906-9007
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1215 LEE ST
Second Line	:
City	:	CHARLOTTESVILLE
State	:	VA
Zip	:	22908-0816
Country	:	US
Telephone Number	:	434-924-2283
Fax Number	:	434-982-0019

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/16/2019
Last Update Date	:	01/27/2026

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