BRIAN DOUGHERTY (NPI# 1194091991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194091991 |
| Entity Type | Individual |
| Full Name | BRIAN DOUGHERTY |
| Credential | MB, BCH, BAO |
| Practice Address |
135 N Oak St Hinsdale IL 60521-3860 |
| Practice Telephone | 6308568900 |
| Practice Fax Number | 6308568933 |
| Mailing Telephone | 6308568900 |
| Mailing Fax Number | 6308568933 |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2013-06-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 125.062127 | IL | Allopathic & Osteopathic Physicians |
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | 125062127 | IL | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679090203 | Brian Dougherty | Acupuncturist | 800 Kenilworth Dr, Ste# 828, Towson, MD 21204 | 2017-08-24 |
| 1942756978 | Brian E Dougherty | Physical Therapist | 745 Rte 202/206 Ste 303, Bridgewater, NJ 08807-1758 | 2016-08-30 |
| 1164477782 | Brian Christopher Dougherty | Physical Therapist | 3975 Embassy Parkway, Suite 102, Akron, OH 44333-1763 | 2006-05-23 |
| 1790248060 | Brian Dougherty | Nurse Practitioner | 595 W State St, Doylestown, PA 18901-2554 | 2019-04-12 |
| 1740207596 | Brian Emmett Dougherty | Physical Therapist | 3209 S 23rd St, Tacoma, WA 98405-1602 | 2006-07-17 |
| 1487654299 | Brian Edward Dougherty | Otolaryngology | 8940 N Kendall Dr, #504e, Miami, FL 33176-2148 | 2005-07-22 |
| Street Address |
135 N OAK ST |
| City | HINSDALE |
| State | IL |
| Zip Code | 60521-3860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639150121 | Zewdu Haile | Emergency Medicine | 135 N Oak St, Hinsdale, IL 60521-3860 | 2005-11-10 |
| 1831718246 | Philip Peter Serafin | Student in an Organized Health Care Education/Training Program | 135 N Oak St, Hinsdale, IL 60521-3860 | 2020-04-15 |
| 1437778776 | Frances Nanadiego | Student in an Organized Health Care Education/Training Program | 135 N Oak St, Hinsdale, IL 60521-3860 | 2020-04-15 |
| 1972122455 | Jason Tyler Rothchild | Student in an Organized Health Care Education/Training Program | 135 N Oak St, Hinsdale, IL 60521-3860 | 2020-04-14 |
| 1982223558 | Krishna Dipak Modi | Student in an Organized Health Care Education/Training Program | 135 N Oak St, Hinsdale, IL 60521-3860 | 2020-04-13 |
| 1487273082 | Sabiha Raziuddin | Student in an Organized Health Care Education/Training Program | 135 N Oak St, Hinsdale, IL 60521-3860 | 2020-04-13 |
| 1134748718 | Nicole Sobkowicz | Student in an Organized Health Care Education/Training Program | 135 N Oak St, Hinsdale, IL 60521-3860 | 2020-04-13 |
| 1528687282 | Anh Tran | Student in an Organized Health Care Education/Training Program | 135 N Oak St, Hinsdale, IL 60521-3860 | 2020-04-13 |
| 1487273140 | Anne Chen | Student in an Organized Health Care Education/Training Program | 135 N Oak St, Hinsdale, IL 60521-3860 | 2020-04-13 |
| 1194344895 | Samia Amjad | Student in an Organized Health Care Education/Training Program | 135 N Oak St, Hinsdale, IL 60521-3860 | 2020-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386256170 | Infinity Yoga LLC | Counselor | 702 Mills St, Hinsdale, IL 60521 | 2020-08-21 |
| 1427696855 | Anne Didier | Nurse Practitioner | 40 South Clay St., Suite 200, West Building, Hinsdale, IL 60521 | 2019-12-16 |
| 1619469244 | Rush Oak Brook Surgery Center, LLC | Clinic/Center | 2011 York Road, Suite 3000, Oak Brook, IL 60521 | 2018-05-30 |
| 1639680275 | Kelly M Lyell | Psychologist | 950 S Oak St, Hinsdale, IL 60521 | 2017-10-23 |
| 1386169720 | Elizabeth Ann Thorsness | Counselor | 412 East Fourth St., Hinsdale, IL 60521 | 2017-08-07 |
| 1275057424 | Bryndal Nicole Chervinko | Audiologist | 908 North Elm Street, Suite 306, Hinsdale, IL 60521 | 2017-07-31 |
| 1972038990 | Carolyn M Ball | Counselor | 19 N Grant St Ste 2c, Hinsdale, IL 60521 | 2017-04-27 |
| 1710429964 | Smiling Star Speech & Language | Speech-Language Pathologist | 120 E Odgen Avenue, Suite 110, Hinsdale, IL 60521 | 2016-11-04 |
| 1972964773 | Sharon Grob Murphy | Psychologist | 728 S. Park Ave., Hinsdale, IL 60521 | 2016-03-08 |
| 1992187074 | Matthew Destefani | Emergency Medicine | 109 Symonds Dr # 578, Hinsdale, IL 60521 | 2015-06-24 |
| Find all providers in zip 60521 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437779477 | Keith Campion | Student in an Organized Health Care Education/Training Program | 5554 S Monroe St, Hinsdale, IL 60521-5162 | 2020-04-20 |
| 1831746205 | Wendy R Smith | Student in an Organized Health Care Education/Training Program | 201 E Ogden Ave Ste 18, Hinsdale, IL 60521-3633 | 2019-08-21 |
| 1285163642 | Abrahim Ali Fahs | Student in an Organized Health Care Education/Training Program | 135 N Oak Street, Hinsdale, IL 60521-3860 | 2017-06-08 |
| 1831718246 | Philip Peter Serafin | Student in an Organized Health Care Education/Training Program | 135 N Oak St, Hinsdale, IL 60521-3860 | 2020-04-15 |
| 1437778776 | Frances Nanadiego | Student in an Organized Health Care Education/Training Program | 135 N Oak St, Hinsdale, IL 60521-3860 | 2020-04-15 |
| 1972122455 | Jason Tyler Rothchild | Student in an Organized Health Care Education/Training Program | 135 N Oak St, Hinsdale, IL 60521-3860 | 2020-04-14 |
| 1982223558 | Krishna Dipak Modi | Student in an Organized Health Care Education/Training Program | 135 N Oak St, Hinsdale, IL 60521-3860 | 2020-04-13 |
| 1487273082 | Sabiha Raziuddin | Student in an Organized Health Care Education/Training Program | 135 N Oak St, Hinsdale, IL 60521-3860 | 2020-04-13 |
| 1134748718 | Nicole Sobkowicz | Student in an Organized Health Care Education/Training Program | 135 N Oak St, Hinsdale, IL 60521-3860 | 2020-04-13 |
| 1528687282 | Anh Tran | Student in an Organized Health Care Education/Training Program | 135 N Oak St, Hinsdale, IL 60521-3860 | 2020-04-13 |
| Find all providers in HINSDALE | ||||
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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.