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1417451030

NPI Code Detail

MEDICARE: BRIAN DUFFY

MEDICARE: BRIAN DUFFY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	53499	AL
2	207R00000X	Internal Medicine Physician	C1-0029319	DE
3	207R00000X	Internal Medicine Physician	T0772	TX
4	207R00000X	Internal Medicine Physician	80203	AZ
5	207R00000X	Internal Medicine Physician	MD-26705	HI
6	207R00000X	Internal Medicine Physician	77156	TN
7	207R00000X	Internal Medicine Physician	01099404A	IN
8	207R00000X	Internal Medicine Physician	CDR.0006624	CO
9	207R00000X	Internal Medicine Physician	2026-01212	NC
10	207R00000X	Internal Medicine Physician	MD70104739	WA
11	207R00000X	Internal Medicine Physician	110890	GA
12	207R00000X	Internal Medicine Physician	14275320-1235	UT
13	207R00000X	Internal Medicine Physician	47649	OK
14	207R00000X	Internal Medicine Physician	2026012934	MO
15	207R00000X	Internal Medicine Physician	MD-56655	IA

General Provider Information

NPI Number	:	1417451030
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIAN DUFFY

Provider Business Mailing Address
First Line	:	PO BOX 211699
Second Line	:
City	:	EAGAN
State	:	MN
Zip	:	55121-3699
Country	:	US
Telephone Number	:	866-849-0692
Fax Number	:

Provider Business Practice Location Address
First Line	:	1201 FANNIN ST STE 262
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77002-6943
Country	:	US
Telephone Number	:	866-849-0692
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2018
Last Update Date	:	04/09/2026

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Directions to “ BRIAN DUFFY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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