Individual
BRIAN THIENEMANN MACDOWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4724 DOVER ST NE, SAINT PETERSBURG, FL 33703-2138
(828) 778-8666
Mailing address
4724 DOVER ST NE, SAINT PETERSBURG, FL 33703
(828) 778-8666
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30836
NC
207RA0401X
Addiction Medicine (Internal Medicine) Physician
ME130669
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0171620
UHC
NC
05
—
10535300
—
FL
01
—
53676
BCBS
NC
05
—
8953676
—
NC
Enumeration date
04/13/2006
Last updated
03/25/2026
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