Individual
BRIAN CHRISTOPHER GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1902 BRAEBURN DR, SUITE 130, SALEM, VA 24153-7304
(540) 444-2583
(540) 772-2583
Mailing address
1902 BRAEBURN DR, SUITE 130, SALEM, VA 24153-7304
(540) 444-2583
(540) 772-2583
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
0101256274
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831327089
—
VA
05
—
ENROLLED
—
IA
05
—
ENROLLED
—
MN
05
—
ENROLLED
—
SD
01
—
P01070845
RAILROAD MEDICARE
MN
Enumeration date
06/26/2009
Last updated
01/14/2022
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