Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bianca Kenyon, MD

Individual provider Surgery Physician · NPI 1609293836

Bianca Kenyon, MD is a Vascular Surgery in Manassas, Virginia. Graduated from Saint Louis University School of Medicine in 2014, 12 years ago. Practices with Prine Health Medical Group, PLLC, a 75-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
12
Trained at
Saint Louis University School of Medicine
Licensed in
VA
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

8100 Ashton Ave Ste 200
Manassas, VA 20109-5688
Phone: (571) 581-1771
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 200 1st St Sw, Rochester, MN 55905-0001 — (507) 284-2511
  • 401 Phalen Blvd, Saint Paul, MN 55130-5302 — (651) 254-7980

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 0101284134 (VA)
Surgery Physician Taxonomy 208600000X · Licence 0101284134 (VA)

Record details

NPI number1609293836
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 26, 2014
Last updated in NPPESAugust 12, 2025
Certification dateAugust 12, 2025
Mailing address200 1st St Sw, Rochester, MN 55905-0001

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyVASCULAR SURGERY
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Prine Health Medical Group, Pllc — 75 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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