Provider Demographics
NPI:1356443840
Name:DOYLE, BRIAN B (MD)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:B
Last Name:DOYLE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Last Name Type:
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Mailing Address - Street 1:1325 18TH ST NW
Mailing Address - Street 2:#209
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036-6515
Mailing Address - Country:US
Mailing Address - Phone:202-296-5877
Mailing Address - Fax:202-785-4448
Practice Address - Street 1:1325 18TH ST NW
Practice Address - Street 2:#209
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-6515
Practice Address - Country:US
Practice Address - Phone:202-296-5877
Practice Address - Fax:202-785-4448
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-04
Last Update Date:2008-01-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DCMD50332084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC438830Medicare PIN
DCB94982Medicare UPIN