Provider Demographics
NPI:1588784003
Name:BRIGGS, BRIAN MICHAEL (DC)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:MICHAEL
Last Name:BRIGGS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:BRIAN
Other - Middle Name:MICHAEL
Other - Last Name:DIX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1911 N FAIRFIELD RD STE 230
Mailing Address - Street 2:
Mailing Address - City:BEAVERCREEK
Mailing Address - State:OH
Mailing Address - Zip Code:45432-2754
Mailing Address - Country:US
Mailing Address - Phone:937-789-7341
Mailing Address - Fax:
Practice Address - Street 1:1911 N FAIRFIELD RD STE 230
Practice Address - Street 2:
Practice Address - City:BEAVERCREEK
Practice Address - State:OH
Practice Address - Zip Code:45432-2754
Practice Address - Country:US
Practice Address - Phone:937-789-7341
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 9065111N00000X
SC3200111N00000X
GACHIR007675111N00000X
OH3738111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0372884Medicaid