Provider Demographics
NPI:1992798201
Name:BRIGGS, J RICHARD (MD)
Entity type:Individual
Prefix:
First Name:J
Middle Name:RICHARD
Last Name:BRIGGS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:259 TAYLOR STATION RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43213-1445
Mailing Address - Country:US
Mailing Address - Phone:614-864-9666
Mailing Address - Fax:614-552-4632
Practice Address - Street 1:85 MCNAUGHTEN RD
Practice Address - Street 2:SUITE 200
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213-2174
Practice Address - Country:US
Practice Address - Phone:614-759-1186
Practice Address - Fax:614-759-0043
Is Sole Proprietor?:No
Enumeration Date:2005-08-23
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35023716207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH200503812051OtherCARESOURCE
OH0044026Medicaid
OH0189OtherNATIONWIDE
OH000000349505OtherANTHEM
OH4133014OtherAETNA
OHA70431Medicare UPIN
OH200503812051OtherCARESOURCE