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NPI Code Detail

MEDICARE: DR. BRIAN MCDONALD HALL M.D.

MEDICARE:  DR. BRIAN MCDONALD HALL  M.D.
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
1208600000XSurgery Physician256148NY
22086S0127XTrauma Surgery Physician256148NY
32086S0102XSurgical Critical Care PhysicianMD458672PA

General Provider Information

NPI Number : 1417191883
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRIAN MCDONALD HALL M.D.
Provider Business Mailing Address
First Line : 2101 AVENUE X
Second Line :
City : BROOKLYN
State : NY
Zip : 11235-2910
Country : US
Telephone Number : 718-257-0200
Fax Number : 718-257-0211
Provider Business Practice Location Address
First Line : 2101 AVENUE X
Second Line :
City : BROOKLYN
State : NY
Zip : 11235-2910
Country : US
Telephone Number : 718-257-0200
Fax Number : 718-257-0211
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2009
Last Update Date : 05/15/2025

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