Provider Demographics
NPI:1063490944
Name:JONES, BRIAN A (MD)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:A
Last Name:JONES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2118 SPRING VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-2427
Mailing Address - Country:US
Mailing Address - Phone:717-544-0150
Mailing Address - Fax:717-544-0151
Practice Address - Street 1:2118 SPRING VALLEY RD
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-2427
Practice Address - Country:US
Practice Address - Phone:717-544-0150
Practice Address - Fax:717-544-0151
Is Sole Proprietor?:No
Enumeration Date:2006-01-02
Last Update Date:2016-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD050909L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAP006775OtherGATEWAY HEALTH PLAN
PA001658812Medicaid
PA3401035OtherAETNA HMO
PA7134517OtherAETNA NON-HMO
PA34712OtherHIGHMARK BLUE SHIELD
PA40539 S1QKOtherGEISINGER HEALTH PLAN
PAG61480OtherHEALTH ASSURANCE
PA080110047OtherRAILROAD MEDICARE
PA50053139OtherCAPITAL BLUE CROSS
PA901471Medicare PIN
PAG61480OtherHEALTH ASSURANCE