BEACH KIDS PEDIATRICS PLLC
NPI 1255634648
Specialist in Virginia Beach, VA

Active since December 07, 2010CLIA 49D2025115 · Waiver
1856 COLONIAL MEDICAL CT, SUITE D, VIRGINIA BEACH, VA 23454(757) 806-8880 Get Directions Write a Review

NPPES record last updated: February 1, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Beach Kids Pediatrics Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEACH KIDS PEDIATRICS PLLC (NPI 1255634648) is a healthcare organization registered as a specialist in Virginia Beach, Virginia and active in the NPI registry since December 2010. The organization holds a CLIA Waiver certificate valid through June 1, 2027 and lists Bryan Mcdonald, Member, as its authorized official.

NPPES Registry Identity

NPI1255634648
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameBEACH KIDS PEDIATRICS PLLC
Location Address1856 COLONIAL MEDICAL CT, SUITE DVirginia Beach, VA 23454-3075
Mailing Address1856 Colonial Medical Ct, Suite DVirginia Beach, VA 23454-3075
Organization SubpartNo
Authorized OfficialBryan McdonaldMember · (757) 806-8880
Enumeration DateDecember 7, 2010
Last NPPES UpdateFebruary 1, 2011
NPI 1255634648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1856 COLONIAL MEDICAL CT, Virginia Beach, VA 23454

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2025115

Beach Kids Pediatrics, PLLC · Virginia Beach, VA
Active · expires Jun 1, 2027
CLIA Number49D2025115
Laboratory TypePhysician Office
Certificate Effective DateJune 2, 2025
Certificate Expiration DateJune 1, 2027
Laboratory DirectorBryan Mcdonald
Laboratory Phone(757) 806-8880
Laboratory LocationBeach Kids Pediatrics, PLLC1004 First Colonial Road - Suite 103, Virginia Beach, VA 23454
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1856 COLONIAL MEDICAL CT, SUITE A
VIRGINIA BEACH, VA 23454
Specialist
1856 COLONIAL MEDICAL CT, SUITE D
VIRGINIA BEACH, VA 23454
Internal Medicine
1856 COLONIAL MEDICAL CT
VIRGINIA BEACH, VA 23454
Nurse Practitioner
1856 COLONIAL MEDICAL CT
VIRGINIA BEACH, VA 23454
Plastic Surgery
1856 COLONIAL MEDICAL CT
VIRGINIA BEACH, VA 23454
Family Medicine
1856 COLONIAL MEDICAL CT, SUITE A
VIRGINIA BEACH, VA 23454

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beach Kids Pediatrics PLLC's NPI number?

The NPI number for Beach Kids Pediatrics PLLC is 1255634648. It was assigned to this organization in the NPPES registry on December 7, 2010.

Where is Beach Kids Pediatrics PLLC located?

Beach Kids Pediatrics PLLC is located at 1856 Colonial Medical Ct Suite D, Virginia Beach, VA 23454. The listed phone number is (757) 806-8880.

What is Beach Kids Pediatrics PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Beach Kids Pediatrics PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2025115) is associated with this NPI, valid through June 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Beach Kids Pediatrics PLLC was last updated on February 1, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.