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

Brian Derner

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1265941876

Brian Derner is a Podiatry in Burke, Virginia. Graduated from Temple University School of Podiatric Medicine in 2018, 8 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in Arizona and California.

Years since qualifying
8
Trained at
Temple University School of Podiatric Medicine
Licensed in
AZ, CA
In the registry since
2017
Specialties on file
2

Practice location Address checks out

6455 Lake Meadow Dr
Burke, VA 22015-3935
Phone: (703) 930-5105
Fax: (703) 930-5105
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence E5878 (CA)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence 1000 (AZ)

Record details

NPI number1265941876
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 26, 2017
Last updated in NPPESSeptember 12, 2022
Certification dateSeptember 12, 2022
Mailing address6455 Lake Meadow Dr, Burke, VA 22015-3935

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolTEMPLE UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Graduated 2018 (8 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Burke