Healthcare Provider Details

I. General information

NPI: 1982638425
Provider Name (Legal Business Name): BRIAN C. CAREY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 06/08/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5750 CENTRE AVE # 510
PITTSBURGH PA
15206-3721
US

IV. Provider business mailing address

5750 CENTRE AVE # 510
PITTSBURGH PA
15206-3721
US

V. Phone/Fax

Practice location:
  • Phone: 412-924-1100
  • Fax: 412-924-1111
Mailing address:
  • Phone: 412-924-1100
  • Fax: 412-924-1111

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberMD428575
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberMD428575
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number35122323
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: