Provider Demographics
NPI:1063518272
Name:BRIAN COST, M.D., P.C.
Entity type:Organization
Organization Name:BRIAN COST, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:COST
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:256-489-5215
Mailing Address - Street 1:4704 WHITESBURG DR SW STE 201
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35802-1681
Mailing Address - Country:US
Mailing Address - Phone:256-489-5215
Mailing Address - Fax:256-489-5700
Practice Address - Street 1:4704 WHITESBURG DR SW STE 201
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35802-1681
Practice Address - Country:US
Practice Address - Phone:256-489-5215
Practice Address - Fax:256-489-5700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-15
Last Update Date:2021-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL94133207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports MedicineGroup - Multi-Specialty