Provider Demographics
NPI:1427018415
Name:QUIRK, BRIAN CAREY (MD)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:CAREY
Last Name:QUIRK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2151 LINGLESTOWN RD STE 100
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17110-9473
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:717-545-6359
Practice Address - Street 1:2151 LINGLESTOWN RD
Practice Address - Street 2:SUITE 100
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17110-9499
Practice Address - Country:US
Practice Address - Phone:717-545-4786
Practice Address - Fax:717-545-6359
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2021-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD025963E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA080169861OtherRR MEDICARE
B41159Medicare UPIN
PA080169861OtherRR MEDICARE