Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1568864189 Individual Practitioner Female Practitioner

Mirjam Bryan

Physician Assistant • Richmond, VA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Mirjam Bryan is a certified Physician Assistant practicing in Richmond, VA. With approximately 12 years of clinical experience since graduating from Eastern Virginia Medical School in 2014, Mirjam Bryan delivers high-quality medical care to the local community at 4825 S LABURNUM AVE.

Mirjam Bryan is affiliated with Henrico Area Mental Heatlh And Developmental Services and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4825 S Laburnum Ave

Richmond, VA 232312713

Telephone 8047278101

Medicare Profile & Education

Medical School

Eastern Virginia Medical School

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Richmond, VA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
12 Yrs +2.2 yrs vs City Avg
City Avg: 9.8 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
285 Specialists

Practicing in Richmond, VA (4432 Statewide)

Telehealth Adoption Rate
6.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
5.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bryan (12 Years) 12 Yrs
Richmond Specialty Average (9.8 Years) 9.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
111 37 $57.00 $53.71

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License VA 0110004713

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License None 0110004713

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0110004713 (VA)
Commercial Insurance / Payer ID Pa-License
0110004713 (VA)

Hospital & Practice Group Affiliations

Henrico Area Mental Heatlh And Developmental Services

10299 Woodman Rd, Glen Allen, VA 230604419

Phone: 8047278500

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

19 Associated Practitioners
Andrea Depriest , LCSW

Social Worker - Clinical

NPI 1003958380

Licensed Clinical Social Worker

Rocco Onorato , RN

Registered Nurse - Psychiatric/Mental Health

NPI 1093858110

Registered Nurse

Michael Nielsen , LCSW

Social Worker - Clinical

NPI 1114054467

Licensed Clinical Social Worker

Mark Kunzinger , RN

Registered Nurse - Psychiatric/Mental Health

NPI 1174665558

Registered Nurse

Brenda Dandridge , LCSW

Social Worker - Clinical

NPI 1255475422

Licensed Clinical Social Worker

Dr. Annamaria Moldovan , MD

Psychiatry & Neurology - Psychiatry

NPI 1316155328

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location March 01, 2019

Registered at 4825 S LABURNUM AVE, RICHMOND, VA 232312713 (Tel: 8047278101)

📍
Updated Business Mailing Address March 01, 2019

Registered at 4825 S LABURNUM AVE, RICHMOND, VA 232312713

NPI Profile Active October 08, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location October 08, 2014

Registered at 4901 E PATRICK HENRY HWY, BURKEVILLE, VA 239223454 (Tel: 4347677014)

📍
Updated Business Mailing Address October 08, 2014

Registered at 4901 E PATRICK HENRY HWY, BURKEVILLE, VA 239223454

👤
Provider Name / Credentials Updated October 08, 2014

Recorded as MIRJAM BRYAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 08, 2014

Physician Assistant (License #0110004713 in VA)

🟢
Initial NPI Registration & Enumeration September 26, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1568864189
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 26, 2014
Last Update: March 01, 2019
Sole Proprietor: No

Mailing Address

4825 S Laburnum Ave

Richmond, VA 232312713

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.