Individual
BRIAN REEVES
Active
Individual
BRIAN REEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
OS9236
FL
2085R0202X
Diagnostic Radiology Physician
Primary
OS9236
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44047
BCBS OF FLORIDA
FL
01
—
P00134651
RR MEDICARE
FL
Enumeration date
07/08/2005
Last updated
01/22/2008
Update your record
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