Provider Demographics
NPI:1073592127
Name:GRIFFIN, BRIAN F (MD)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:F
Last Name:GRIFFIN
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 1:4694 CEMETERY RD
Mailing Address - Street 2:PMB 314
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-1124
Mailing Address - Country:US
Mailing Address - Phone:614-921-9300
Mailing Address - Fax:614-921-9312
Practice Address - Street 1:3655 RIDGE MILL DR
Practice Address - Street 2:
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-7752
Practice Address - Country:US
Practice Address - Phone:614-921-9300
Practice Address - Fax:614-921-9312
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-16
Last Update Date:2010-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35044328208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0806184Medicare ID - Type Unspecified