Individual
BRIAN WILLIAM CORNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
55 MEMORIAL BOULEVARD, NEWPORT, RI 02840-3679
(401) 846-2800
(401) 849-4899
Mailing address
55 MEMORIAL BOULEVARD, NEWPORT, RI 02840-3679
(401) 846-2800
(401) 849-4899
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DPM00195
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2700178
UNITED HEALTHCARE
RI
01
—
71215
BLUE CROSS BLUE SHIELD
RI
05
—
9007121
—
RI
Enumeration date
11/06/2006
Last updated
07/08/2007
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