Provider Demographics
NPI:1215968979
Name:NEERINGS, BRIAN DONALD (DPM)
Entity type:Individual
Prefix:
First Name:BRIAN
Middle Name:DONALD
Last Name:NEERINGS
Suffix:
Gender:M
Credentials:DPM
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Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3495 PIEDMONT RD NE
Mailing Address - Street 2:NINE PIEDMONT CENTER
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305-1717
Mailing Address - Country:US
Mailing Address - Phone:404-364-7070
Mailing Address - Fax:480-967-6540
Practice Address - Street 1:3650 STEVE REYNOLDS BLVD
Practice Address - Street 2:PODIATRY DEPT
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096-4506
Practice Address - Country:US
Practice Address - Phone:623-848-0123
Practice Address - Fax:623-848-1153
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ629213E00000X
GAPOD001233213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ947369Medicaid
AZZ104890Medicare ID - Type Unspecified
AZP00346262Medicare PIN
AZ947369Medicaid