Individual
DR. BRIAN PRIEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8075 N SHADELAND AVE, STE 200, INDIANAPOLIS, IN 46250-2693
(317) 621-8500
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
01075971A
IN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
25MA07860600
NJ
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD034626E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012417060006
—
PA
01
—
P01588238
MEDICARE RAILROAD PTAN
IN
Enumeration date
08/29/2005
Last updated
07/21/2016
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