Healthcare Provider Details

I. General information

NPI: 1285642843
Provider Name (Legal Business Name): BRIAN T. ANDREWS, M.D., A PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2006
Last Update Date: 01/07/2021
Certification Date: 01/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 CASTRO ST STE 437
SAN FRANCISCO CA
94114-1029
US

IV. Provider business mailing address

45 CASTRO ST STE 437
SAN FRANCISCO CA
94114-1029
US

V. Phone/Fax

Practice location:
  • Phone: 415-600-7760
  • Fax:
Mailing address:
  • Phone: 415-814-3429
  • Fax: 415-814-3446

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberG48858
License Number StateCA

VIII. Authorized Official

Name: DR. BRIAN THOMAS ANDREWS
Title or Position: OWNER
Credential: M.D.
Phone: 415-814-3429