Individual
DR. BRIAN FARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
625 LINCOLN AVE, SAN JOSE, CA 95126-3705
(408) 278-3000
Mailing address
400 RACE ST, SAN JOSE, CA 95126-3518
(408) 278-3000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00025303
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051525079
BCBS PROVIDER NUMBER
AL
05
—
051525079
—
AL
01
—
P00263153
RRMCR PROVIDER NUMBER
AL
Enumeration date
02/15/2006
Last updated
08/05/2008
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