MEDICARE: DR. BRIAN CHRISTOPHER COLLINS D.O.

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
1	207P00000X	Emergency Medicine Physician	1388	ME
2	207P00000X	Emergency Medicine Physician	16033	NH

Other Identifiers

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

General Provider Information

NPI Number	:	1285730887
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRIAN CHRISTOPHER COLLINS D.O.

Provider Business Mailing Address
First Line	:	789 CENTRAL AVE
Second Line	:
City	:	DOVER
State	:	NH
Zip	:	03820-2526
Country	:	US
Telephone Number	:	603-610-8051
Fax Number	:

Provider Business Practice Location Address
First Line	:	73 CORPORATE DR
Second Line	:	SUITE 100
City	:	PORTSMOUTH
State	:	NH
Zip	:	03801-2847
Country	:	US
Telephone Number	:	603-610-8051
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/15/2006
Last Update Date	:	03/07/2017

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Directions to “ DR. BRIAN CHRISTOPHER COLLINS D.O.” Practice Location

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