Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | SC004352L | PA |
N | 222Z00000X | Podiatrist | SC004352L | PA |
Y | 213EP1101X | Primary Podiatric Medicine | SC | PA |
N | 111NR0200X | Radiology | SC | PA |
N | 213ER0200X | Radiology | SC | PA |
N | 2081S0010X | Sports Medicine | SC004352L | PA |
N | 213ES0000X | Sports Medicine | SC004352L | PA |
N | 213ES0103X | Foot & Ankle Surgery | SC004352L | PA |
N | 213ES0131X | Foot Surgery | SC | PA |
NPI | 1568460509 |
---|---|
Provider Name | Dr. Brian M Elias |
First Address | York, PA 17403-5073 |
Second Address | York, PA 17403 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2005 |
Last Update Date | 11/03/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0016609550007 | (05) | PA |
1931764 | HIGHMARK BC/BS (01) | PA |
308924 | UPMC (01) | PA |
39998 | GEISINGER (01) | PA |
U67286 | (02) | PA |