MEDICARE: BRIAR OLIVER

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	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1578359402
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIAR OLIVER

Provider Business Mailing Address
First Line	:	4230 HURDS CORNER RD
Second Line	:
City	:	CASS CITY
State	:	MI
Zip	:	48726-9474
Country	:	US
Telephone Number	:	423-315-1717
Fax Number	:

Provider Business Practice Location Address
First Line	:	4230 HURDS CORNER RD
Second Line	:
City	:	CASS CITY
State	:	MI
Zip	:	48726-9474
Country	:	US
Telephone Number	:	423-315-1717
Fax Number	:

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

Provider Enumeration Date	:	04/17/2025
Last Update Date	:	06/01/2026

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Directions to “ BRIAR OLIVER ” Practice Location

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