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NPI Code Detail

MEDICARE: THOMAS BRYAN CORKERY DO

MEDICARE: THOMAS BRYAN CORKERY DO
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
1207R00000XInternal Medicine PhysicianOS0005956LPA
2208M00000XHospitalist PhysicianOS005956LPA

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 : 1952399131
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS BRYAN CORKERY DO
Provider Business Mailing Address
First Line : 160 GALLERY DR STE 300
Second Line :
City : MC MURRAY
State : PA
Zip : 15317-2690
Country : US
Telephone Number : 724-941-7144
Fax Number : 724-941-7625
Provider Business Practice Location Address
First Line : 100 MEDICAL BLVD
Second Line :
City : CANONSBURG
State : PA
Zip : 15317-9762
Country : US
Telephone Number : 724-941-7144
Fax Number : 724-941-7625
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2005
Last Update Date : 11/05/2024

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Directions to “ THOMAS BRYAN CORKERY DO” Practice Location

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