Provider Demographics
NPI:1326222779
Name:BUCHBERG, BRIAN SETH (MD)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:SETH
Last Name:BUCHBERG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:113 GAINSBOROUGH SQ STE 400
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-1714
Mailing Address - Country:US
Mailing Address - Phone:757-842-4499
Mailing Address - Fax:757-842-4490
Practice Address - Street 1:113 GAINSBOROUGH SQ
Practice Address - Street 2:SUITE 400
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-1713
Practice Address - Country:US
Practice Address - Phone:757-842-4499
Practice Address - Fax:757-842-4490
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-20
Last Update Date:2018-10-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101254779208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery