1. Home
  2. Directory
  3. Virginia
  4. Reston
  5. Chiropractor
  6. NPI Profile

DR. BRIAN SCOTT MCNICHOLAS D.C.
NPI 1437233483
Chiropractor - Sports Physician in Reston, VA

Active since October 25, 2006PECOS EnrolledAccepts Medicare Assignment
1712 CLUBHOUSE RD, #102, RESTON, VA 20190(703) 435-8805 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Brian Scott Mcnicholas D.c. NPPES

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

DR. BRIAN SCOTT MCNICHOLAS D.C. (NPI 1437233483) is an individual sports physician in Reston, Virginia, licensed in Virginia (0104001891) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Life Chiropractic College (1997).

NPPES Registry Identity

NPI1437233483
Entity TypeIndividualMale
Primary Taxonomy111NS0005X
Provider Legal NameDR. BRIAN SCOTT MCNICHOLASCredential: D.C.
Location Address1712 CLUBHOUSE RD, #102Reston, VA 20190-4595
Mailing Address1712 Clubhouse Rd, #102Reston, VA 20190-4595 · (703) 435-8805
Phone(703) 435-8805
Sole ProprietorYes
Medical School CMSLife Chiropractic CollegeGraduated 1997
Enumeration DateOctober 25, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1437233483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers
Taxonomy Code111NS0005X
License✔ Licensed in VA · 0104001891
Definition
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.
1712 CLUBHOUSE RD, Reston, VA 20190
Open in Google Maps ↗

Other Identifiers 5

OtherF743-0001VA · Carefirst Bcbs
Other5209702VA · Aetna Ppo Virginia
Other333984VA · Anthem Bcbs Virginia
Other3441318-001VA · Cigna (ppo) Virginia
Medicare ID-Type Unspecified490122VA · Medicare

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

Dr. Brian Scott Mcnicholas D.c. 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 ID6305012857
PECOS Enrollment IDI20120104000551
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
361 services25 patients

Other Providers at the Same Location NPPES 4

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

MR. GEORGE BERNARD ZACKO DDS
Dentist
1712 CLUBHOUSE RD, SUITE 106
RESTON, VA 20190
Fairfax County (703) 471-6600
SEDAR CAVIT OZTURK DDS
Dentist (General Practice)
1712 CLUBHOUSE RD
RESTON, VA 20190
Fairfax County (703) 471-6600
BRETT ZACKO GURLEY RDH
Dental Hygienist
1712 CLUBHOUSE RD, ZACKO AND ASSOC
RESTON, VA 20190
Fairfax County (703) 471-6600
MRS. MARY JANE CATHERINE KORRIGAN RDH
Dental Hygienist
1712 CLUBHOUSE RD, SUITE 106
RESTON, VA 20190
Fairfax County (703) 471-6600

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 Mcnicholas's NPI number?

The NPI number for Brian Mcnicholas is 1437233483. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is Brian Mcnicholas located?

Brian Mcnicholas practices at 1712 Clubhouse Rd #102, Reston, VA 20190. The listed phone number is (703) 435-8805.

What is Brian Mcnicholas's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Is Brian Mcnicholas enrolled in Medicare?

Yes. Brian Mcnicholas 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 Mcnicholas was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.