Provider Demographics
NPI:1083600357
Name:QUARANTA, BRIAN PATRICK (MD)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:PATRICK
Last Name:QUARANTA
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 1:2234 COLONIAL BLVD
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-1412
Mailing Address - Country:US
Mailing Address - Phone:239-931-7342
Mailing Address - Fax:239-931-7385
Practice Address - Street 1:445 BILTMORE AVE
Practice Address - Street 2:SUITE G-102
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4565
Practice Address - Country:US
Practice Address - Phone:828-253-7077
Practice Address - Fax:828-253-6898
Is Sole Proprietor?:No
Enumeration Date:2005-09-22
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC20022007742085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1168748OtherGATEWAY HEALTH
NC7435269OtherAETNA PROVIDER NUMBER
NCE3301OtherMEDCOST PROVIDER #
NC7267444003OtherCIGNA PROVIDER NUMBER
NC891634WHMedicaid
NC134WHOtherBCBS OF NC PROVIDER #
NC891634WHMedicaid
NC134WHOtherBCBS OF NC PROVIDER #