# JEFFREY BRIAN MARTIN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1104079862
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 0101281968 | VA | — |
| 207L00000X | Anesthesiology Physician | 036133427 | IL | Yes |
| 207L00000X | Anesthesiology Physician | 101705 | WI | — |
| 207L00000X | Anesthesiology Physician | 125-054163 | IL | — |
| 207P00000X | Emergency Medicine Physician | 125054163 | TN | — |

## Other

- **Enumeration date:** 10/28/2008
- **Last updated:** 06/08/2026