Provider Demographics
NPI:1558470492
Name:ELFORD, BRIAN RICHARD (DO)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:RICHARD
Last Name:ELFORD
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2000 OXFORD DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:BETHEL PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15102-1827
Mailing Address - Country:US
Mailing Address - Phone:412-831-7570
Mailing Address - Fax:412-854-6149
Practice Address - Street 1:2000 OXFORD DR
Practice Address - Street 2:SUITE 201
Practice Address - City:BETHEL PARK
Practice Address - State:PA
Practice Address - Zip Code:15102-1827
Practice Address - Country:US
Practice Address - Phone:412-831-7570
Practice Address - Fax:412-854-6149
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2016-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS010825L207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAI26750Medicare UPIN
P00223905Medicare PIN
PA405567Medicare PIN