Brian Gregory Cothern, MD
Internal Medicine, Cardiovascular Disease in Fairfield, OH. Individual provider (NPI-1).
NPI number1700249729
StatusActive
Last updated in NPPESAug 7, 2023
Details
- NPI
- 1700249729
- Entity type
- Individual (NPI-1)
- Name
- Brian Gregory Cothern
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 29, 2016
- Certification date
- Aug 7, 2023
- Last updated
- Aug 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0000X | Internal Medicine, Cardiovascular Disease | 35.147553 | OH | Yes |
| 207R00000X | Internal Medicine | 01082027A | IN | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
3000 Mack Rd Ste 100Fairfield, OH 45014-5335
Phone 513-751-4222 · Fax 513-874-3023
Mailing address
3000 Mack Rd Ste 100Fairfield, OH 45014-5335
Phone 513-751-4222 · Fax 513-874-3023
Other practice locations
8333 Naab Rd Ste 420
Indianapolis, IN 46260-1992
Indianapolis, IN 46260-1992
Phone 317-338-6666
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