NPI Code Details Logo

NPI 1376748624

NPI 1376748624 : BRIAN JOSEPH COLSANT M.D. : WEST POINT, NY

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1376748624
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    BRIAN JOSEPH COLSANT M.D.
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/18/2007
-----------------------------------------------------
    Last Update Date     |    07/16/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    900 WASHINGTON RD 
-----------------------------------------------------
    City                 |    WEST POINT
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    10996-1109
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    904-542-1000
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    900 WASHINGTON RD 
-----------------------------------------------------
    City                 |    WEST POINT
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    10996-1109
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    315-774-8200
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207QS0010X
-----------------------------------------------------
    Taxonomy Name        |    Sports Medicine (Family Medicine) Physician
-----------------------------------------------------
    License Number       |    01067579A
-----------------------------------------------------
    License Number State |    IN
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    390200000X
-----------------------------------------------------
    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    207QS0010X
-----------------------------------------------------
    Taxonomy Name        |    Sports Medicine (Family Medicine) Physician
-----------------------------------------------------
    License Number       |    334115
-----------------------------------------------------
    License Number State |    NY
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.