Healthcare Provider Details
I. General information
NPI: 1992798201
Provider Name (Legal Business Name): J RICHARD BRIGGS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/23/2005
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
85 MCNAUGHTEN RD SUITE 200
COLUMBUS OH
43213-2174
US
IV. Provider business mailing address
259 TAYLOR STATION RD
COLUMBUS OH
43213-1445
US
V. Phone/Fax
- Phone: 614-759-1186
- Fax: 614-759-0043
- Phone: 614-864-9666
- Fax: 614-552-4632
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | 35023716 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: