Individual
DR. BRIAN LOUIS MATTINGLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
530 S JACKSON ST # C07, LOUISVILLE, KY 40202-1675
(502) 852-5875
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
01070895A
IN
2085R0202X
Diagnostic Radiology Physician
11013730A
IN
2085R0202X
Diagnostic Radiology Physician
Primary
45959
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201061080
—
IN
05
—
7100241190
—
KY
01
—
P01119551
RAILROAD MEDICARE
IN
Enumeration date
05/19/2008
Last updated
02/14/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us