Provider Demographics
NPI:1407895329
Name:NAGY, BRIAN A (DPM)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:A
Last Name:NAGY
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 712
Mailing Address - Street 2:
Mailing Address - City:NORTH HAMPTON
Mailing Address - State:NH
Mailing Address - Zip Code:03862-0712
Mailing Address - Country:US
Mailing Address - Phone:603-964-6555
Mailing Address - Fax:603-964-6515
Practice Address - Street 1:875 GREENLAND RD UNIT C4
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-4163
Practice Address - Country:US
Practice Address - Phone:603-964-6555
Practice Address - Fax:603-964-6515
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-06
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0302213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHRE6900Medicare ID - Type Unspecified
NHU94498Medicare UPIN