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Individual

BRIAN A BLUE

Active
Find providers by NPI
Individual

BRIAN A BLUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
16798
SC
207X00000X
Orthopaedic Surgery Physician
9901507
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01196446
AMERIGROUP
SC
01
—
4457436
AETNA
SC
01
—
571029311005
BCBS
SC
01
—
571029311006
BCBS
SC
05
—
8912370
—
NC
01
—
904051
PPNI
SC
01
—
9921493
CIGNA
SC
05
—
TL8382
—
SC
Enumeration date
01/11/2006
Last updated
09/28/2012
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