BRIAN ALAN MABRY BRIAN MABRY NPI 1427300052

NPI Information

NPI: 1427300052
Provider Name: BRIAN ALAN MABRY, BRIAN MABRY
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
66 N 6TH ST
POMEROY, WA
ZIP 99347
Phone: (509) 843-1591
Get Directions

Brian Alan Mabry, BRIAN MABRY is a medical physician assistant in Pomeroy, WA. Brian Alan Mabry, BRIAN MABRY NPI is 1427300052. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

66 N 6TH ST
POMEROY, WA
ZIP 99347-705
Phone: (509) 843-1591
Fax: (509) 843-1234

The NPI 1427300052 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/5/2012 and was last updated on 5/6/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		PA60564965	WASHINGTON	No
2	363AM0700X	Physician Assistant	Medical	50.003623	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2630700	MEDICAID	OHIO
2	9358461	MEDICARE PIN	OHIO
3	20358733200	OTHER	OHIO	BWC GROUP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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