MR. BRIAN KEITH SULLIVAN (NPI# 1003172438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003172438 |
| Entity Type | Individual |
| Full Name | MR. BRIAN KEITH SULLIVAN |
| Credential | MT |
| Practice Address |
326 Starbridge Rd Murrayville GA 30564-2817 |
| Mailing Address |
396 Starbridge Rd Murrayville GA 30564-2817 |
| Practice Telephone | 7062659530 |
| Practice Fax Number | 7068677969 |
| Mailing Telephone | 7062659530 |
| Mailing Fax Number | 7068677969 |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2012-04-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT005008 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972761252 | Brian Michael Sullivan | Family Medicine | 514 Americas Way, Apt 6347, Box Elder, SD 57719-7600 | 2008-05-23 |
| 1336282961 | Brian C Sullivan | Chiropractor | 142 Rantoul St, Beverly, MA 01915-4241 | 2007-02-14 |
| 1306947338 | Brian A Sullivan | Chiropractor | 101 Blossom Dr, Winchester, VA 22602-6100 | 2006-09-25 |
| 1174537120 | Brian Patrick Sullivan | Psychologist | 5170 Hwy 105 S, Suite 1, Banner Elk, NC 28604 | 2006-07-27 |
| 1770145401 | Brian Patrick Sullivan | Surgery | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2019-07-02 |
| 1659869550 | Brian Thomas Sullivan | Student in an Organized Health Care Education/Training Program | 601 N Caroline St # 5165, Baltimore, MD 21287-0006 | 2018-04-25 |
| 1316466956 | Brian H Sullivan | Community Health Worker | 140 Route 303, Valley Cottage, NY 10989-5906 | 2017-09-14 |
| 1699290106 | Brian Sullivan | Counselor | 1215 Sw G St, Grants Pass, OR 97526-2544 | 2017-08-04 |
| 1831551654 | Brian Sullivan | Student in an Organized Health Care Education/Training Program | 5100 W Broad St, Columbus, OH 43228-1607 | 2016-03-22 |
| 1639558893 | Brian Sullivan | Social Worker | 301 Broadway, Chelsea, MA 02150-2807 | 2015-05-21 |
| Street Address |
326 STARBRIDGE RD |
| City | MURRAYVILLE |
| State | GA |
| Zip Code | 30564-2817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275683153 | Donna Anne Corre-sullivan | Chiropractor | 326 Starbridge Rd, Murrayville, GA 30564-2817 | 2007-01-11 |
| 1942545280 | Starbridge Chiropractic, Inc. | Chiropractor | 326 Starbridge Rd, Murrayville, GA 30564-2817 | 2012-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588983845 | Georgia Mountains Community Services | Day Training, Developmentally Disabled Services | 84 Dove Trail Court, Flowery Branch, GA 30564 | 2010-05-26 |
| 1558429803 | Bradley T Cox | Dentist | 3777 Highway 129 South, Cleveland, GA 30564 | 2006-12-05 |
| 1477192219 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 5163 Thompson Bridge Rd, Murrayville, GA 30564-1930 | 2019-12-26 |
| 1972676690 | Linda P Bearden | Pharmacist | 5304 Thompson Bridge Rd, Murrayville, GA 30564-1941 | 2006-11-17 |
| 1225101959 | B L Bearden, Inc | Pharmacy | 5304 Thompson Bridge Rd, Murrayville, GA 30564-1941 | 2006-11-17 |
| 1730252446 | Barry Edsel Bearden | Pharmacist | 5304 Thompson Bridge Rd, Murrayville, GA 30564-1941 | 2006-11-17 |
| 1356428155 | Stephen Andrew Henderson | Chiropractor | 5449 Thompson Bridge Rd, Murrayville, GA 30564-1948 | 2006-11-01 |
| 1801115035 | Georgia Mountains Community Services | Day Training, Developmentally Disabled Services | 375 Jerry Ayers Rd, Murrayville, GA 30564-3009 | 2010-05-27 |
| 1528223047 | Heather Michelle Clower | Physical Therapist | 294 Jessica Trl, Murrayville, GA 30564-3023 | 2008-07-24 |
| 1386963122 | Georgia Mountains Community Services | Day Training, Developmentally Disabled Services | 425 Grindle Brothers Rd, Murrayville, GA 30564-3146 | 2010-05-19 |
| Find all providers in zip 30564 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346169 | Debra Davis | Massage Therapist | 702 Baldwin Dr Ste A, Albany, GA 31707-4027 | 2020-11-06 |
| 1780285197 | Tyrone Roy | Massage Therapist | 869 King Rd, Stone Mountain, GA 30088-2203 | 2020-11-03 |
| 1295336758 | Nadia Elizabeth Jones | Massage Therapist | 300 S Hamilton St, Dalton, GA 30720-8215 | 2020-11-02 |
| 1164022968 | Gregory R Bell Jr. | Massage Therapist | 106 W Henry St # B, Savannah, GA 31401-6721 | 2020-10-30 |
| 1770183527 | Alexander Jones | Massage Therapist | 626 Dekalb Ave Se Apt 1445, Atlanta, GA 30312-5409 | 2020-10-30 |
| 1134728124 | Quaniessa Rochelle Jenkins | Massage Therapist | 449 Oak Dr # 2, Atlanta, GA 30354-1228 | 2020-10-20 |
| 1598364630 | Amy Yang | Massage Therapist | 4505 Bradstone Trce Nw, Lilburn, GA 30047-8019 | 2020-10-20 |
| 1073112405 | Tavia Rena Bell | Massage Therapist | 2512 Grayton Loop, Villa Rica, GA 30180-6702 | 2020-10-17 |
| 1063010437 | Miranda Browne | Massage Therapist | 335 Roberts Rd, Athens, GA 30606-1227 | 2020-10-16 |
| 1710585567 | Lailyn Pineda Burkett | Massage Therapist | 3550 Ga Highway 20 South, Conyers, GA 30013-2877 | 2020-10-14 |
| Find all providers with the same taxonomy | ||||
| City | MURRAYVILLE |
| Zip Code | 30564 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.