Individual
DR. BRIAN FEELEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 OWENS ST STE 170, SAN FRANCISCO, CA 94158-2335
(415) 353-9400
(415) 885-3862
Mailing address
1500 OWENS ST STE 170, SAN FRANCISCO, CA 94158-2335
(415) 353-9400
(415) 885-3862
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
950394
CA
225400000X
Rehabilitation Practitioner
20A81676
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A0816760
BLUE SHIELD OF CA
CA
01
—
20A81676
BLUE CROSS
CA
Enumeration date
11/01/2006
Last updated
01/03/2022
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