Provider Demographics
NPI:1063708931
Name:PFLUGH, BRIAN PAUL (PA)
Entity type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:PAUL
Last Name:PFLUGH
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:100 S JACKSON AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15202-3428
Mailing Address - Country:US
Mailing Address - Phone:412-734-6100
Mailing Address - Fax:412-734-6800
Practice Address - Street 1:100 S JACKSON AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15202-3428
Practice Address - Country:US
Practice Address - Phone:412-734-6100
Practice Address - Fax:412-734-6800
Is Sole Proprietor?:No
Enumeration Date:2011-06-20
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMA054942363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA530255Medicare PIN