Healthcare Provider Details

I. General information

NPI: 1184803934
Provider Name (Legal Business Name): BRIAN VINCENT CASHIN JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/29/2007
Last Update Date: 04/01/2020
Certification Date: 04/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MADIGAN ARMY MEDICAL CENTER ATTN: MCHJ-EDME 9040 REID STREET
TACOMA WA
98431-1100
US

IV. Provider business mailing address

MADIGAN ARMY MEDICAL CENTER ATTN: MCHJ-EDME 9040 REID STREET
TACOMA WA
98431-1100
US

V. Phone/Fax

Practice location:
  • Phone: 253-968-0354
  • Fax: 253-968-5926
Mailing address:
  • Phone: 253-968-0354
  • Fax: 253-968-5926

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD2015-0555
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: