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

Brian Dougherty, MB, BCH, BAO

Individual provider Surgery Physician · NPI 1194091991

Brian Dougherty, MB, BCH, BAO is a Surgery Physician in Norfolk, Virginia. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012
Specialties on file
3
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Practice location Address checks out

1562 Mitscher Ave Ste 250
Norfolk, VA 23551-2423
Phone: (757) 443-3872
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036.136528 (IL)
Surgery Physician Taxonomy 208600000X · Licence 125.062127 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 125062127 (IL)

Record details

NPI number1194091991
Entity typeIndividual (Type 1)
GenderMale
Credentials MB , BCH , BAO
Sole proprietorNo
NPI enumeratedMarch 26, 2012
Last updated in NPPESNovember 21, 2024
Certification dateNovember 21, 2024

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