Healthcare Provider Details

I. General information

NPI: 1790078723
Provider Name (Legal Business Name): BRIAN MATTHEW TORMA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2011
Last Update Date: 01/09/2025
Certification Date: 01/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

655 AFRICA RD
WESTERVILLE OH
43082-9808
US

IV. Provider business mailing address

655 AFRICA RD
WESTERVILLE OH
43082-9808
US

V. Phone/Fax

Practice location:
  • Phone: 614-326-2672
  • Fax:
Mailing address:
  • Phone: 614-326-2672
  • Fax: 614-326-3293

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number35.124031
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: