Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 00969 | MD |
N | 222Z00000X | Podiatrist | 00969 | MD |
Y | 213EP1101X | Primary Podiatric Medicine | 00969 | MD |
N | 213ES0131X | Foot Surgery | 00969 | MD |
NPI | 1235100116 |
---|---|
Provider Name | Joseph Osler Brice |
First Address | Pasadena, MD 21122-7202 |
Second Address | Pasadena, MD 21122-7202 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2006 |
Last Update Date | 17/11/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
12565 | PRIORITY PARTNERS (01) | MD |
214881 | M.A.M.S.I. (01) | MD |
236264 | UNITED HEALTHCARE (01) | MD |
43521-8100 | (05) | MD |
69219 | PRINCIPAL HEALTH CARE -DE (01) | MD |
73174 | COVENTRY HEALTH CARE - DE (01) | MD |
KBQ4CO | BLUE CROSS BLUE SHIELD (01) | MD |
T59808 | (02) | MD |
W219-0002 | BLUE CROSS BLUE SHIELD (01) | DC |
W219-0002 | BLUE SHIELD FEP PROGRAM (01) | DC |