Individual
DR. BRIAN J SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 BESTGATE RD STE 400, ANNAPOLIS, MD 21401
(410) 266-2720
(410) 244-0209
Mailing address
1000 BESTGATE RD STE 400, ANNAPOLIS, MD 21401-3371
(410) 266-2720
(410) 224-0209
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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