Individual
DR. BRIAN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10060 REGENCY CIR, OMAHA, NE 68114
(402) 354-1580
(402) 354-1409
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-2155
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
30831
NE
207R00000X
Internal Medicine Physician
Q2674
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275892002
—
NE
05
—
47068731742
—
NE
Enumeration date
05/14/2012
Last updated
08/29/2018
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