Provider Demographics
NPI:1598597023
Name:GORMAN, BRIANA M (MPH, NBC-HWC)
Entity type:Individual
Prefix:
First Name:BRIANA
Middle Name:M
Last Name:GORMAN
Suffix:
Gender:F
Credentials:MPH, NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1511 TEXAS AVE S # 163
Mailing Address - Street 2:
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77840-3328
Mailing Address - Country:US
Mailing Address - Phone:858-353-2948
Mailing Address - Fax:
Practice Address - Street 1:206 FIRESIDE CIR
Practice Address - Street 2:
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77840-1877
Practice Address - Country:US
Practice Address - Phone:858-353-2948
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-14
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach