Individual
DR. BRIAN M ELIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
508 MEETING ST, WEST COLUMBIA, SC 29169-7535
(727) 796-6900
(727) 669-8417
Mailing address
6021 142ND AVE N, CLEARWATER, FL 33760-2822
(727) 796-6900
(727) 669-8417
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
SC004352L
PA
213EP1101X
Primary Podiatric Medicine Podiatrist
SC
PA
213ER0200X
Radiology Podiatrist
SC
PA
213ES0000X
Sports Medicine Podiatrist
SC004352L
PA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC004352L
PA
213ES0131X
Foot Surgery Podiatrist
SC
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016609550007
—
PA
01
—
1931764
HIGHMARK BC/BS
PA
01
—
308924
UPMC
PA
01
—
39998
GEISINGER
PA
Enumeration date
07/13/2005
Last updated
04/11/2025
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