BRIAN MASON (NPI# 1346248028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346248028 |
Entity Type | Individual |
Full Name | BRIAN MASON |
Credential | M.D. |
Practice Address |
410 N State of Franklin Rd Suite 135b Johnson City TN 37604-6971 |
Mailing Address |
311 Flamingo Ave Naples FL 34108-2109 |
Practice Telephone | 4234314866 |
Practice Fax Number | 4234312372 |
Mailing Telephone | 4234314866 |
Mailing Fax Number | 4234312372 |
Enumeration Date | 2005-07-07 |
Last Update Date | 2018-10-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
0101259162 | VA | Allopathic & Osteopathic Physicians |
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
53466 | TN | Allopathic & Osteopathic Physicians |
N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
ME78629 | FL | Allopathic & Osteopathic Physicians |
N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
53466 | TN | Allopathic & Osteopathic Physicians |
N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
ME0078629 | FL | Allopathic & Osteopathic Physicians |
N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
ME78629 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | 1346248028 | 05 | |
FL | 257038600 | 05 | |
TN | RAILROAD MEDICARE | P01707185 | 01 |
FL | BCBS OF FLORIDA | 49358 | 01 |
TN | Q017789 | 05 | |
FL | RR MEDICARE | 300108688 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
1350 Hickory St, Melbourne, FL 329013224 | 3214341771 | 3214341775 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790787240 | Brian Mason | Dentist | 1422 Circleville Plaza Dr, Circleville, OH 43113-2269 | 2005-08-15 |
1508251463 | Brian Mason | Student in an Organized Health Care Education/Training Program | 759 Chestnut St, Springfield, MA 01199-1001 | 2015-03-30 |
1083014575 | Brian Kelly Mason | Pharmacist | 3901 S Tamiami Trl, Sarasota, FL 34231-3621 | 2014-09-03 |
1396179057 | Brian James Mason | Pharmacist | 6652 Youree Dr, Shreveport, LA 71105-4630 | 2013-08-29 |
1295920296 | Brian O. Mason | Social Worker | 8616 Northern Ave, Rockford, IL 61107-5309 | 2007-09-12 |
1851422950 | Brian Mason | Dentist | 2835 E Brown Rd Ste 102, Mesa, AZ 85213-5470 | 2007-03-08 |
1841369725 | Brian James Mason | Physical Therapist | 901 W Main St, Freehold, NJ 07728-2537 | 2006-11-07 |
1821196866 | Brian Patrick Mason | Emergency Medicine | 750 Town Park Lane, Town Park Comprehensive Medical Center, Kennesaw, GA 30114 | 2006-09-21 |
1952396780 | Brian A Mason | Obstetrics & Gynecology | 22151 Moross Rd, 313, Detroit, MI 48236-2167 | 2005-09-19 |
Street Address |
410 N STATE OF FRANKLIN RD SUITE 135B |
City | JOHNSON CITY |
State | TN |
Zip Code | 37604-6971 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356880199 | Shriners Hospitals for Children | Orthopaedic Surgery | 410 N State of Franklin Rd, Suite 130, Johnson City, TN 37604-6971 | 2017-02-13 |
1043688385 | Blue Ridge Medical Management Corporation | Radiology | 410 N State of Franklin Rd, Suite 135b, Johnson City, TN 37604 | 2015-09-03 |
1659776375 | Blue Ridge Medical Management Corporation | Psychiatry & Neurology | 410 N State of Franklin Rd, Suite 135, Johnson City, TN 37604-6971 | 2014-10-23 |
1003152307 | Blue Ridge Medical Management Corporation | Neurological Surgery | 410 N State of Franklin Rd, Suite 120, Johnson City, TN 37604-6971 | 2012-12-14 |
1134497787 | Ted Allan White | Nurse Practitioner | 410 N State of Franklin Rd, Suite 130, Johnson City, TN 37604-6971 | 2011-12-12 |
1518266725 | William Andrew Crabtree | Physician Assistant | 410 N State of Franklin Rd, Suite 130, Johnson City, TN 37604-6971 | 2011-03-28 |
1093016024 | Blue Ridge Medical Management Corporation | Orthopaedic Surgery | 410 N State of Franklin Rd, Suite 130, Johnson City, TN 37604-6971 | 2010-11-08 |
1245559236 | Tanzid Shams | Psychiatry & Neurology | 410 N State of Franklin Rd, Suite 135, Johnson City, TN 37604 | 2010-05-31 |
1275867715 | Brandon Green | Orthopaedic Surgery | 410 N State of Franklin Rd, Suite 130, Johnson City, TN 37604-6971 | 2009-10-01 |
1801022975 | John Benjamin Yarger | Surgery | 410 N State of Franklin Rd, Suite 130, Johnson City, TN 37604-6971 | 2009-06-03 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417560707 | Brant Logan Nickens | Physical Therapist | 809 Lamont St and Veterans Way, Johnson City, TN 37604 | 2020-08-26 |
1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
Find all providers in zip 37604 |
Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811212319 | David R Clopton | Radiology | 208 Highland Ridge Ter, Johnson City, TN 37615-4499 | 2010-03-29 |
1114945292 | Vinay Jain | Radiology | James H Quillen Vamc, Mountain Home, Johnson City, TN 37684 | 2006-07-17 |
1205872017 | Razvan Florin Buciuc | Radiology | 30 Harrison St Ste 400, Johnson City, NY 13790-2176 | 2006-06-21 |
1184682494 | Vincent Gerard Becker | Radiology | 1301 Sunset Dr, Ste 3, Johnson City, TN 37604-7906 | 2006-05-03 |
1952379893 | John Brunson | Radiology | 3357 Harrison Street, Johnson City, NY 13790 | 2006-03-08 |
1902873219 | Anwer Puthawala | Radiology | 33-57 Harrison Street, Johnson City, NY 13790 | 2006-03-06 |
1386629079 | Edward Sterling Rollins | Radiology | 167 Anderson Rd, Johnson City, TN 37601-5334 | 2005-12-14 |
1780669861 | Sundar Jayaraman | Radiology | 32-36 Harrison St, Johnson City, NY 13790-2122 | 2005-12-12 |
1366447401 | Scott G Akin | Radiology | 208 Sunset Dr Ste 370, Johnson City, TN 37604 | 2005-06-16 |
1366447542 | Raymond E Kohne | Radiology | 818 Sunset Dr Ste 100, Johnson City, TN 37604-8310 | 2005-06-15 |
Find all providers in JOHNSON CITY |
City | JOHNSON CITY |
Zip Code | 37604 |
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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.