Individual
DR. BRIAN A LAGRECA
Active
Individual
DR. BRIAN A LAGRECA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
7090
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0048331
—
MT
01
—
0461032
MT STATE ID
MT
01
—
104306400
WORKERS COMP - REG
—
05
—
104306400
—
WY
01
—
105765101
WORKERS COMP - FIC
—
01
—
180044575
MT RR MEDICARE
MT
01
—
311773
WY BCBS
WY
01
—
32-0016290
FEDERAL TAX ID
—
01
—
5205A
WY MEDICAL LICENSE
WY
01
—
7090
MT MEDICAL LICENSE
MT
01
—
99920
BCBS PROVIDER NUMBER
—
01
—
CJ9407
RAILROAD MEDICARE
MT
Enumeration date
02/21/2007
Last updated
03/07/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up