Provider Demographics
NPI:1245235209
Name:COX, BRIAN G (MD)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:G
Last Name:COX
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3623 J DEWEY GRAY CIR
Mailing Address - Street 2:STE 104
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30909-6553
Mailing Address - Country:US
Mailing Address - Phone:706-855-0566
Mailing Address - Fax:706-855-8385
Practice Address - Street 1:3623 J DEWEY GRAY CIR
Practice Address - Street 2:STE 104
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30909-6553
Practice Address - Country:US
Practice Address - Phone:706-855-0566
Practice Address - Fax:706-855-8385
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2009-10-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA31583207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA52239149OtherGA DEPT. OF COMM. HEALTH
GA760014OtherUNITED HEALTHCARE
0004477116OtherAETNA LIFE INS. CO.
C 39BDBBDOtherUNITED AMERICAN INS. CO.
GA337999OtherWELLCARE
GA10036868OtherAMERIGROUP
520005OtherAETNA US HEALTHCARE
GA52239149OtherBC BS OF GA
GA000389155AMedicaid
GA760014OtherUNITED HEALTHCARE
GA39BDBBDMedicare ID - Type Unspecified