Provider Demographics
NPI:1164426532
Name:KNOP, BRIAN C (MD)
Entity Type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:C
Last Name:KNOP
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:310 STOCK ST
Mailing Address - Street 2:STE 4
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331-2276
Mailing Address - Country:US
Mailing Address - Phone:717-316-3555
Mailing Address - Fax:717-316-3556
Practice Address - Street 1:310 STOCK ST
Practice Address - Street 2:STE 4
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-2276
Practice Address - Country:US
Practice Address - Phone:717-316-3555
Practice Address - Fax:717-316-3556
Is Sole Proprietor?:No
Enumeration Date:2005-06-13
Last Update Date:2021-01-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD070923-L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001826319Medicaid
PA044471ZEA5Medicare PIN
H29971Medicare UPIN