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Individual
BRIAN A DEPREST
Active
Individual
BRIAN A DEPREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32078
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000350656
ANTHEM / NMA
—
01
—
000052155P
HUMANA / NMA
—
01
—
009856
SIHO / NMA
—
01
—
1049449
PASSPORT / NMA
—
01
—
1193589
CHA / NMA
—
01
—
1223284004
CIGNA / NMA
—
01
—
2432515000
PASSPORT ADVANTAGE / NMA
—
05
—
64320781
—
KY
01
—
P00176786
RAILROAD MEDICARE
KY
Enumeration date
04/18/2006
Last updated
04/26/2023
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