1. Home
  2. Directory
  3. Virginia
  4. Burke
  5. Podiatrist
  6. NPI Profile

BRIAN DERNER
NPI 1265941876
Podiatrist - Foot & Ankle Surgery in Burke, VA

Active since September 26, 2017PECOS EnrolledAccepts Medicare Assignment
6455 LAKE MEADOW DR, BURKE, VA 22015(703) 930-5105(703) 930-5105 Get Directions Write a Review

NPPES record last updated: September 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 12, 2022, Jun 9, 2022 (2 updates tracked since 2022).

About Brian Derner NPPES

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

BRIAN DERNER (NPI 1265941876) is an individual foot & ankle surgery provider in Burke, Virginia, licensed in California (E5878) and active in the NPI registry since September 2017. He is enrolled in Medicare PECOS and is a graduate of Temple University School Of Podiatric Medicine (2018).

NPPES Registry Identity

NPI1265941876
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameBRIAN DERNER
Location Address6455 LAKE MEADOW DRBurke, VA 22015-3935
Mailing Address6455 Lake Meadow DrBurke, VA 22015-3935 · (703) 930-5105
Phone(703) 930-5105
Fax(703) 930-5105
Sole ProprietorYes
Medical School CMSTemple University School Of Podiatric MedicineGraduated 2018
Enumeration DateSeptember 26, 2017
Last NPPES UpdateSeptember 12, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2022
✔ NPI 1265941876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
Licenses✔ Licensed in CA · E5878✔ Licensed in AZ · 1000
6455 LAKE MEADOW DR, Burke, VA 22015
Open in Google Maps ↗

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brian Derner is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890197859
PECOS Enrollment IDI20230809001601
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Brian Derner's NPI number?

The NPI number for Brian Derner is 1265941876. It was assigned to this individual provider in the NPPES registry on September 26, 2017.

Where is Brian Derner located?

Brian Derner practices at 6455 Lake Meadow Dr, Burke, VA 22015. The listed phone number is (703) 930-5105.

What is Brian Derner's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Brian Derner enrolled in Medicare?

Yes. Brian Derner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Brian Derner was last updated on September 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.