# MR. BRIAN T. MARTIN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1144542457
- **Gender:** Man
- **Credential:** PA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PA-1767 | ID | Yes |
| 363A00000X | Physician Assistant | PA21543 | CA | — |

## Other

- **Enumeration date:** 02/28/2010
- **Last updated:** 02/20/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0969PA | — | SC |
| 01 | — | P00886826 | RAILROAD MC ID-RSFPN | SC |
| 05 | — | PA-1767 | — | ID |