# BRIAN NICHOLAS PARKS

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

## Provider details

- **NPI number:** 1376869396
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 036141626 | IL | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | Q6891 | TX | Yes |
| 207R00000X | Internal Medicine Physician | L1761511 | MI | — |
| 208VP0014X | Interventional Pain Medicine Physician | 5699 | OK | — |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | NULL | — |

## Other

- **Enumeration date:** 04/15/2010
- **Last updated:** 09/02/2020