Individual
DR. BRIAN J SULLIVAN
Active
Individual
DR. BRIAN J SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
D0050954
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
352303900
—
MD
01
—
3550284
AETNA
—
01
—
471782
MAMSI
—
01
—
487760200
FEDERAL WORKMANS COMP
—
01
—
76918803
BCBS
—
01
—
76918804
BCBS
—
01
—
76918806
BCBS
MD
01
—
76918807
BCBS
MD
01
—
D3800006
BCBS
DC
01
—
J4570002
BCBS
DC
01
—
W8490002
BCBS
DC
Enumeration date
07/14/2005
Last updated
11/26/2018
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