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NPI Code Detail

MEDICARE: BRIAN MASTERSON MD

MEDICARE:   BRIAN  MASTERSON  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician35089080OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053522359
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN MASTERSON MD
Provider Business Mailing Address
First Line : 237 WILLIAM HOWARD TAFT RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45219-2610
Country : US
Telephone Number : 513-351-9900
Fax Number : 513-366-4491
Provider Business Practice Location Address
First Line : 7545 BEECHMONT AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45255-4222
Country : US
Telephone Number : 513-263-8652
Fax Number : 513-263-8638
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2007
Last Update Date : 03/14/2022

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Directions to “ BRIAN MASTERSON MD” Practice Location

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