Individual
DR. BRADY BLAIR BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1405 S HIGH ST, COLUMBUS, OH 43207-1043
(614) 355-9000
(614) 355-9010
Mailing address
1405 S HIGH ST, COLUMBUS, OH 43207-1043
(614) 355-9000
(614) 355-9010
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.152055
OH
208000000X
Pediatrics Physician
35.152055
OH
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35.152055
SOMB
OH
Enumeration date
03/31/2023
Last updated
04/20/2025
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