Provider Demographics
NPI:1437109543
Name:DEYARMIN, BRIAN J (MD)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:J
Last Name:DEYARMIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1000 HIGBEE DR
Mailing Address - Street 2:SUITE 104
Mailing Address - City:BETHEL PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15102-4200
Mailing Address - Country:US
Mailing Address - Phone:412-833-6176
Mailing Address - Fax:412-833-6421
Practice Address - Street 1:1000 HIGBEE DR
Practice Address - Street 2:SUITE 104
Practice Address - City:BETHEL PARK
Practice Address - State:PA
Practice Address - Zip Code:15102-4200
Practice Address - Country:US
Practice Address - Phone:412-833-6176
Practice Address - Fax:412-833-6421
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2014-10-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PA054028L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001557453Medicaid
PA001557453Medicaid
PA523738MDYMedicare ID - Type UnspecifiedDOCTORS PROVIDER NUMBER