Individual
DR. BRIAN C CENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2100 STATE AVE, PANAMA CITY, FL 32405-4587
(850) 763-0036
(850) 763-0259
Mailing address
PO BOX 946205, ATLANTA, GA 30394-6205
(800) 998-3450
(757) 942-3290
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
2007-01477
NC
2085R0001X
Radiation Oncology Physician
29354
AL
2085R0001X
Radiation Oncology Physician
Primary
ME170118
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108200
—
AL
05
—
109082
—
AL
05
—
123828600
—
FL
05
—
130058
—
AL
05
—
333480282A
—
GA
01
—
511-18120
BLUE CROSS BLUE SHIELD
AL
01
—
8190764
CIGNA
AL
01
—
P01652621
RR MEDICARE
AL
Enumeration date
04/10/2007
Last updated
10/30/2024
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