Individual
DR. BRIAN T BRISCOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 E. CHESTNUT ST., STE 610, LOUISVILLE, KY 40202
(502) 813-6600
(502) 813-6650
Mailing address
2700 STANLEY GAULT PKWY STE 129, LOUISVILLE, KY 40223-5176
(502) 253-4900
(502) 489-5751
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
43198
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100107260
—
KY
01
—
P01458486
RR MEDICARE
KY
Enumeration date
02/01/2007
Last updated
07/12/2019
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