BRENDAN L WATERS (DO) – Diagnostic Radiology Physician, NPI 1043200579

BRENDAN L WATERS (DO) is a healthcare provider. based in Alexandria, Virginia. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials DO. They hold a License No. 0102201725 (VA). The NPI Number for BRENDAN L WATERS (DO) is 1043200579

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
BRENDAN L WATERS (DO)
NPI
1043200579
Phone
(215) 432-3072
Address
6 FRANKLIN ST
Enumeration Date
26 October 2005
Last Update Date
14 October 2013

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
7036984444
Graduation Year
1999 (27 years ago)
PAC ID
8224073523
Group Practice PAC ID
8628970324
Professional Enrollment ID
I20140319001296
Address ID
VA223041535AL4320XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,529 DIAGNOSTIC RADIOLOGY in VA

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Provider Addresses for BRENDAN L WATERS (DO)

  • 6, Franklin Street, Captains Row, Lyles-Crouch, Alexandria, Virginia, 23242, United States

    ALEXANDRIA, VA 223143868

    Phone: (215) 432-3072

    Type: Mailing

  • Sentara Northern Virginia Medical Center, 2300, Opitz Boulevard, Woodbridge, Prince William County, Virginia, 22191, United States

    DEPT OF RADIOLOGY

    WOODBRIDGE, VA 22191

    Phone: (703) 607-1561

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-03-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050627001367IDiagnostic RadiologyVATBD
I20140319001296IDiagnostic RadiologyDCTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
71045X-ray of chest, 1 view798699$0
70450Ct scan head or brain without contrast375362$0
77063Screening 3d breast mammography369369$0
77067Screening mammography369369$0
74177Ct scan of abdomen and pelvis with contrast251241$0
View full utilization report →

Insurance plans in this area (ZIP 22314)

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Provider's Procedures

BRENDAN L WATERS (DO) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYVA71250CT scan chest2323
DIAGNOSTIC RADIOLOGYVA73110X-ray of wrist, minimum of 3 views2120
DIAGNOSTIC RADIOLOGYVA73630X-ray of foot, minimum of 3 views4543
DIAGNOSTIC RADIOLOGYVA74177CT scan of abdomen and pelvis with contrast170166
DIAGNOSTIC RADIOLOGYVA93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers3737

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8628970324View full group profile
NameSpecialtyState
Diagnostic RadiologyVA
Diagnostic RadiologyVA
Diagnostic RadiologyVA
Diagnostic RadiologyCA
Diagnostic RadiologyVA
Diagnostic RadiologyVA
Diagnostic RadiologyPA
Diagnostic RadiologyCA
Diagnostic RadiologyVA
Diagnostic RadiologyVA

Reviews

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Frequently asked questions

What is the 10-digit NPI for BRENDAN L WATERS (DO)?
BRENDAN L WATERS (DO) — NPI 1043200579 — is the standard way to identify this listing.
Can I rely on BRENDAN L WATERS (DO) being an active provider?
As of the registry snapshot, BRENDAN L WATERS (DO) is marked active.
What healthcare role does BRENDAN L WATERS (DO) hold?
Scheduling teams often label BRENDAN L WATERS (DO) under Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Where is BRENDAN L WATERS (DO) based?
BRENDAN L WATERS (DO) is tied to Alexandria, Virginia in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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