Gardner, Brian

Gardner, Brian is an individual health care provider with primary practice located at 1215 Lee St Box 800719, Charlottesville VA 22908-0816. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Gardner, Brian can be contacted via phone (434) 924-2150.

Contact Information

Primary practice address
1215 Lee St Box 800719 Charlottesville VA 22908-0816
Phone: (434) 924-2150
Fax: (434) 982-1530
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 82070 South Carolina

Profile Details

NPI number 1356785455
LBN Legal business name Gardner, Brian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2013
Last updated Oct 7th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356785455 NPPES
South Carolina MEDICAID 820703
South Carolina Other SCF2284467

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