Provider Demographics
NPI:1215907621
Name:BRIGGS, BRIAN TAYLOR (DO)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:TAYLOR
Last Name:BRIGGS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:4135 BOARDMAN CANFIELD RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CANFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44406-9803
Mailing Address - Country:US
Mailing Address - Phone:330-286-5330
Mailing Address - Fax:330-286-5396
Practice Address - Street 1:200 E STATE ST
Practice Address - Street 2:
Practice Address - City:ALLIANCE
Practice Address - State:OH
Practice Address - Zip Code:44601-4936
Practice Address - Country:US
Practice Address - Phone:330-596-6000
Practice Address - Fax:330-596-7214
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2016-07-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH34-00-6254207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0792626OtherMEDICARE PTAN
OH2097072Medicaid
OH2097072Medicaid