Provider Demographics
NPI:1285709568
Name:YORK, BRIAN J (DO)
Entity type:Individual
Prefix:
First Name:BRIAN
Middle Name:J
Last Name:YORK
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:3900 S ZINTEL WAY
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99337-5092
Mailing Address - Country:US
Mailing Address - Phone:509-942-3627
Mailing Address - Fax:509-942-2268
Practice Address - Street 1:1100 GOETHALS DRIVE 1ST FLOOR
Practice Address - Street 2:KADLEC CLINICS INFECTIOUS DISEASE
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-3304
Practice Address - Country:US
Practice Address - Phone:509-942-2360
Practice Address - Fax:509-942-2239
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2021-04-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ME2033207RI0200X, 208M00000X
WAOP00002347207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0236959OtherLABOR & INDUSTRIES
ME432768999Medicaid
MEP00632463Medicare PIN
ME000387601Medicare PIN
WA8873993Medicare PIN