Individual
BRIAN DONNAN BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5380 TECH DATA DR # 101, CLEARWATER, FL 33760
(469) 401-2386
Mailing address
5380 TECH DATA DR # 101, CLEARWATER, FL 33760-3122
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2000-01560
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130X3
BLUE CROSS
NC
05
—
89130X3
—
NC
01
—
P00243064
MEDICARE RAILROAD
NC
Enumeration date
06/08/2006
Last updated
05/01/2019
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