Healthcare Provider Details

I. General information

NPI: 1487647228
Provider Name (Legal Business Name): BRIAN MICHAEL BILLINGS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2005
Last Update Date: 09/18/2023
Certification Date: 09/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

619 N MAIN ST
MCPHERSON KS
67460-3407
US

IV. Provider business mailing address

2101 N WALDRON ST
HUTCHINSON KS
67502-1131
US

V. Phone/Fax

Practice location:
  • Phone: 620-504-6530
  • Fax: 620-241-6206
Mailing address:
  • Phone: 620-669-2500
  • Fax: 620-241-6206

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0425884
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: