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

Individual provider Physician Assistant · NPI 1760163133

Bryan Lesniewicz, PA-C is a Physician Assistant in Glen Allen, Virginia. Qualified in 2023, 3 years ago. Practices with Intercept Youth Services Inc, a 4-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
3
Licensed in
VA
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

10187 Brook Rd
Glen Allen, VA 23059-6508
Phone: (540) 523-8080
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5673 Airport Rd, Roanoke, VA 24012-1119 — (540) 523-8080

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1185614 (VA)

Record details

NPI number1760163133
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 28, 2023
Last updated in NPPESNovember 22, 2023
Certification dateNovember 22, 2023
Mailing address2590 Chartstone Dr, Midlothian, VA 23113-9632

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Intercept Youth Services Inc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Glen Allen