MEDICARE: DR. BRIAN D HARRIS 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
1	207L00000X	Anesthesiology Physician	A100114	CA
2	207RS0012X	Sleep Medicine (Internal Medicine) Physician	A100114	CA
3	207LA0401X	Addiction Medicine (Anesthesiology) Physician	A100114	CA

General Provider Information

NPI Number	:	1396904785
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRIAN D HARRIS MD

Provider Business Mailing Address
First Line	:	120B SANTA MARGARITA AVE STE 211
Second Line	:
City	:	MENLO PARK
State	:	CA
Zip	:	94025-2725
Country	:	US
Telephone Number	:	650-308-4845
Fax Number	:	925-204-6417

Provider Business Practice Location Address
First Line	:	120B SANTA MARGARITA AVE STE 211
Second Line	:
City	:	MENLO PARK
State	:	CA
Zip	:	94025-2725
Country	:	US
Telephone Number	:	650-308-4845
Fax Number	:	925-204-6417

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

Provider Enumeration Date	:	06/02/2008
Last Update Date	:	03/18/2025

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