| John Brian Md Llc | |
|
104 N 3rd St Alexandria LA 71301-8581 | |
| (318) 449-1370 | |
| Not Available |
| Full Name | John Brian Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 104 N 3rd St, Alexandria, Louisiana |
| Authorized Official Name and Position | John C Brian (OWNER) |
| Authorized Official Contact | 3186233534 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John Brian Md Llc 220 Saint Andrews Dr Alexandria LA 71303-9721 Ph: (318) 623-3534 | John Brian Md Llc 104 N 3rd St Alexandria LA 71301-8581 Ph: (318) 449-1370 |
| NPI Number | 1225701832 |
|---|---|
| Provider Enumeration Date | 07/29/2021 |
| Last Update Date | 07/29/2021 |
| Medicare PECOS PAC ID | 7012314420 |
|---|---|
| Medicare Enrollment ID | O20210928003007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225701832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | John C Brian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770089617 PECOS PAC ID: 0840541330 Enrollment ID: I20210825000802 |
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