Individual
BRIAN N. MADDUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4805 MONTGOMERY RD STE 210, CINCINNATI, OH 45212-2280
(513) 241-2370
(513) 241-6053
Mailing address
4805 MONTGOMERY RD, SUITE 150, CINCINNATI, OH 45212-2198
(513) 961-5558
(513) 961-1912
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
35-072754
OH
2084N0400X
Neurology Physician
41984
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000510678
ANTHEM
OH
05
—
200203700
—
IN
05
—
2022715
—
OH
01
—
221373
UNISON
OH
01
—
2442321
AETNA
OH
05
—
7100057870
—
KY
01
—
P01213793
RR MEDICARE
KY
Enumeration date
07/17/2006
Last updated
11/15/2024
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