Healthcare Provider Details

I. General information

NPI: 1023690856
Provider Name (Legal Business Name): ZACHARY BRIGGS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2021
Last Update Date: 03/28/2024
Certification Date: 03/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3188 BELLEVUE AVE STE 110
CINCINNATI OH
45219-2369
US

IV. Provider business mailing address

4120 DUNLEAVY CT
DUBLIN OH
43016-7709
US

V. Phone/Fax

Practice location:
  • Phone: 513-584-7284
  • Fax: 513-584-3892
Mailing address:
  • Phone: 614-460-1743
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: