Individual
BRIAN J DOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-7499
(614) 366-2360
Mailing address
700 ACKERMAN RD STE 570, COLUMBUS, OH 43202-1579
(614) 293-7499
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.131133
OH
207R00000X
Internal Medicine Physician
A120600
CA
207R00000X
Internal Medicine Physician
MD439654
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649474438
CCS PANELED - MEDICAID
CA
05
—
1649474438
—
CA
01
—
PENDING
MEDICARE
OH
05
—
PENDING
—
OH
Enumeration date
06/13/2007
Last updated
07/21/2022
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