MEDICARE: BRIAN GRAHAM 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	207RP1001X	Pulmonary Disease Physician	C162611	CA
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	C162611	CA
3	207RH0005X	Hypertension Specialist Physician	44560	CO

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	:	1982758389
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIAN GRAHAM MD

Provider Business Mailing Address
First Line	:	1001 POTRERO AVE
Second Line	:	BLDG. 5, FL. 1, 1M
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94110-3518
Country	:	US
Telephone Number	:	628-206-8494
Fax Number	:	628-206-7501

Provider Business Practice Location Address
First Line	:	1001 POTRERO AVE
Second Line	:	BLDG. 5, FL. 1, 1M
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94110-3518
Country	:	US
Telephone Number	:	628-206-8494
Fax Number	:	628-206-7501

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

Provider Enumeration Date	:	01/22/2007
Last Update Date	:	04/29/2026

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Directions to “ BRIAN GRAHAM MD” Practice Location

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