Individual
BRIAN C JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 E CHESTNUT ST, LOUISVILLE, KY 40202-1831
(502) 629-7601
Mailing address
234 E GRAY ST, SUITE 850, LOUISVILLE, KY 40202-1900
(502) 585-1735
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
369446
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000230631
BC BS
KY
01
—
000000308613
BC BS
KY
01
—
50005980
PASSPORT HEALTH
KY
05
—
6405346500
—
KY
05
—
64353465
—
KY
Enumeration date
07/18/2005
Last updated
03/05/2008
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