MEDICARE: DR. BRIAN GREGORY SALISBURY 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
1	207RP1001X	Pulmonary Disease Physician	ME0023852	FL

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	:	1982672259
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRIAN GREGORY SALISBURY M.D.

Provider Business Mailing Address
First Line	:	1305 S FORT HARRISON AVE
Second Line	:	BLDG D
City	:	CLEARWATER
State	:	FL
Zip	:	33756-3301
Country	:	US
Telephone Number	:	727-441-9444
Fax Number	:	727-443-2728

Provider Business Practice Location Address
First Line	:	1305 S FORT HARRISON AVE
Second Line	:	BLDG D
City	:	CLEARWATER
State	:	FL
Zip	:	33756-3301
Country	:	US
Telephone Number	:	727-441-9444
Fax Number	:	727-443-2728

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

Provider Enumeration Date	:	03/10/2006
Last Update Date	:	01/26/2010

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