Koda Brinker, PMHNP-BC - Nurse Practitioner in Fairfax, VA

Koda Brinker, PMHNP-BC is a Nurse Practitioner - Psychiatric/mental Health based in Fairfax, Virginia. Koda Brinker is licensed to practice in Virginia (license number 0024190559) and his current practice location is 10304 Eaton Pl Ste 100, Fairfax, Virginia. He can be reached at his office (for appointments etc.) via phone at (571) 463-8620.

NPI number for Koda Brinker is 1043055502 and his current mailing address is 732 Daly St, Philadelphia, Pennsylvania. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1043055502.

Contact Information

Koda Brinker, PMHNP-BC
10304 Eaton Pl Ste 100,
Fairfax, VA 22030-2221
(571) 463-8620
Not Available

Map and Direction




Provider's Profile

Full NameKoda Brinker
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location10304 Eaton Pl Ste 100, Fairfax, Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1043055502
  • Provider Enumeration Date: 06/27/2024
  • Last Update Date: 06/27/2024

Medical Identifiers

Medical identifiers for Koda Brinker such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043055502NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 0024190559 (Virginia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Koda Brinker is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Koda Brinker, PMHNP-BC
732 Daly St,
Philadelphia, PA 19148-3248

Ph: (312) 995-3630
Koda Brinker, PMHNP-BC
10304 Eaton Pl Ste 100,
Fairfax, VA 22030-2221

Ph: (571) 463-8620

Reviews and Comments


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