# BRIAN A DEPREST

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

## Provider details

- **NPI number:** 1184689861
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 32078 | KY | Yes |

## Other

- **Enumeration date:** 04/18/2006
- **Last updated:** 04/26/2023

## 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 |