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BRYAN LICHTENAUER DC
NPI 1285226985
Chiropractor in Broadlands, VA

Active since February 04, 2021
43150 BROADLANDS CENTER PLZ STE 154, BROADLANDS, VA 20148(571) 888-5045 Get Directions Write a Review

NPPES record last updated: July 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 16, 2021, Feb 4, 2021 (2 updates tracked since 2021).

About Bryan Lichtenauer Dc NPPES

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

BRYAN LICHTENAUER DC (NPI 1285226985) is an individual chiropractor in Broadlands, Virginia, licensed in Virginia (0104-557702) and active in the NPI registry since February 2021. He maintains a secondary practice location in Fairfax and is a graduate of Life Chiropractic College (2020).

NPPES Registry Identity

NPI1285226985
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameBRYAN LICHTENAUERCredential: DC
Location Address43150 BROADLANDS CENTER PLZ STE 154Broadlands, VA 20148-3801
Mailing Address43150 Broadlands Center Plz Ste 154Broadlands, VA 20148-3801 · (571) 319-6768
Phone(571) 888-5045
Sole ProprietorNo
Medical School CMSLife Chiropractic CollegeGraduated 2020
Enumeration DateFebruary 4, 2021
Last NPPES UpdateJuly 16, 20212 updates tracked since enumeration
NPPES CertifiedJuly 16, 2021
✔ NPI 1285226985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in VA · 0104-557702
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
43150 BROADLANDS CENTER PLZ STE 154, Broadlands, VA 20148
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Secondary Practice Location 1

Location 19649 Fairfax BlvdFairfax, VA 22031-2321 · Phone (443) 632-5035

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bryan Lichtenauer Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8820403504
PECOS Enrollment IDI20210210000426

Other Providers at the Same Location NPPES

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

EMPOWER CHIROPRACTIC LOUDOUN LLC
Chiropractor
43150 BROADLANDS CENTER PLZ STE 154
BROADLANDS, VA 20148
Loudoun County (571) 319-6768

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 Bryan Lichtenauer's NPI number?

The NPI number for Bryan Lichtenauer is 1285226985. It was assigned to this individual provider in the NPPES registry on February 4, 2021.

Where is Bryan Lichtenauer located?

Bryan Lichtenauer practices at 43150 Broadlands Center Plz Ste 154, Broadlands, VA 20148. The listed phone number is (571) 888-5045.

What is Bryan Lichtenauer's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Bryan Lichtenauer enrolled in Medicare?

Yes. Bryan Lichtenauer is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bryan Lichtenauer was last updated on July 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.