Individual
DR. BRIAN LEE MAGGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3550 HIGHWAY 75, KINGSPORT, TN 37663-4031
(423) 328-8833
Mailing address
2070 KING COLLEGE RD, BRISTOL, TN 37620-2920
(276) 202-8632
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101058365
VA
207Q00000X
Family Medicine Physician
Primary
MD31236
TN
207Q00000X
Family Medicine Physician
ME174476
FL
207Q00000X
Family Medicine Physician
V8870
TX
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
0101058365
VA
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
31236
TN
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
ME174476
FL
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
V8870
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1513226
—
TN
05
—
1922051705
—
VA
Enumeration date
05/19/2006
Last updated
03/24/2026
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